Chapel 1:  Sanctuary-    Annex-    Kitchen-    Nursery-   Parking Lot-

                                                                                                 

                                                                                                  Chapel 2:  Sanctuary-    Annex-    Kitchen-    Nursery-   Parking Lot-

                                                                                                  Chapel 3:  Sanctuary-    Annex-    Kitchen-    Nursery-   Parking Lot-         

                                                                                                   BLDG 856-       BLDG 612-  BLDG 326-

 

                                                                                                                            

                                                                                                   Date of Event      Religious Preference

                                                                                                      Program Description     Program Title

                                                                                                               Event Set-up Time      Actual Start Time

                                                                                                                 Actual End Time      Facility Exit Time        

                                                                                                         

            

                                                                             Sponsoring Chaplain      Number of people expected to attend   

                                                                                               Chaplain Assistant Requested (official Chapel programs only)  Yes    No

                                                                                      Name of Requester   Home Phone

                                                                                              Email Address    Duty Phone 

                                                          

                                                                 You must read and agree to the terms below before your request can be reviewed for approval.

                                                               

                                                                  I agree to the "Chapel Facility Use Agreement" as stated above please type initials here ->
                                     
                                                     You can print the facility use agreement/checklist here     Privacy Act can be viewed here     For questions call 634-1288    Form 0-166 18 WG/HC