Facility Request

Name (required)

Organization

Address (required)

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Zip Code (required)

Telephone (required)

Email (required)

Website

Please briefly state the organization's purpose and mission: (required)

Please describe the purpose for which you intend to use the facilities: (required)

Which facility are you requesting to use? (required)
Merriman BuildingSanctuaryGymnasium

Request Date(s) (required)

Request Time(s) (required)

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