*
Name*
Email*
Message *
*

A: 1313 North Limestone St
Lexington, KY 40505

P: 859.226.9242

Get Directions & Info

QR Code

Building & Event Request Form

Today's Date:*
Ministry: *
Ministry Leader:*
Your Name: *
Name of Event and/or Purpose of Request: *
Date of Event:*
Start Time: (H:MMpm)*
End Time: (H:MMpm)*
Is this a reoccurring event?:*
If yes, Frequency (i.e. Tuesdays/Thursdays, Saturdays)
Room(s) Requested: *
Audio-Visual Requests:
Culinary Requests:*
If yes, please describe
Marketing/Communications Requests:*
If yes, please select all that apply
Should this event/activity be an announcement? (i.e. Pertains to the entire congregation)*
Primary Contact Name: *
Primary Contact Number: *
Primary Contact Email:*