Facility Request Name (required) Organization Address (required) City (required) State (required) 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) Your Message