Request For Use of Tables/Chairs | St John Lutheran Church

Activity: (Required)

Date of Event: (Required)

Time(s) of Event: (Required)

Equipment requested

Number of White Rectangular Tables:

Number of Chairs:

Other Special Needs:

Request to Pick-Up On (Date/Time):

Group Information

Group/ Person making request:

Responsible party:

Address:

Phone Number:

Contact person (if other than responsible party):

Address:

Phone Number:

Agreement:

All tables and chairs need to be cleaned and returned to St. John Lutheran Church the following day unless other arrangements ma

Please report any damage, responsible party will be held liable for repairs/replacement.

Signature of Responsible Party

Date:

Solve 4 + 8 = ?

St John Lutheran Church