EmailMe Form - Request for Use of Life Church Livingston

Today's Date *
MM / DD / YYYY
Contact Name *
First Last
Contact Email
Contact Number *
### - ### - ####
ACTIVITY/EVENT
Name Of Activity *
Organization Sponsoring Activity (if applicable)
Event Date *
MM / DD / YYYY
Event Start Time *
HH : MM AM/PM
Facility will be unlocked 1 hour prior to listed start time
Event End Time *
HH : MM AM/PM
Building/Room Requested *

Please Select One
Estimated Attendance *
EVENT DESCRIPTION
COMMENTS/EVENT DESCRIPTION *

Please Select One