Facility Request Form

Facility Usage Agreement
* Please read the agreement linked above. By submitting this form, you are agreeing and acknowledging your understanding of, and compliance to all stipulations and fees stated.*

You will be notified within one week if your request has been approved or declined.
(Please note that MCC ministry events and activities take priority over other events).

Your name *

Last name

Email address *

Phone number *

Phone type

Are you a member of MCC? *

Title of Event *

Start Date of Event *

Start Time of Event *

End Date of Event *

End Time of Event *

If this event if reoccurring, how many weeks will it last?

Number of People to Attend *

Short Description of Event. *

Note: MCC ministry events and activities take priority over other events and can supersede reoccurring activities or events.

Will you need any tech resources? *

audio, computer, tv, etc.
Note: Tech must already be available in the room. Audio/tech required for specifice areas.

Yes

Maybe

Will you need tables and chairs? If so, how many? *

Room Preference *

Room 220 A

Room 220 B

Kid's Hallway Classroom

Lobby

Mezzanine

Room 250 (Kidzone Cafe)

Parking Lot/Outdoor Space

Worship Center (limited availibility)

Other

By submitting this form, I agree and acknowledge my understanding of and compliance to all stipulations and fees stated in MCC's Facility Usage Agreement. *

Facility Usage Agreement

I agree

A copy of your responses will be sent to your email address.

Miamisburg Christian Church
office@exploremcc.org
937-866-4893

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