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     Name of group:
    
     Who is in charge:
    
     Phone number to reach you:

     E-Mail:

     Date(s) of event:

     Time of event:

     Approximate number of participants:

     Location desired (parking lot, Fellowship Hall, ect.):  

    What you want to do:
    

    If needed, who will open/close for your event:

    
Fundraiser and Event Form
While there is no fee to use our facilities, we do require a $50 refundable deposit prior to any event.