Maple Grove Christian Church

Facility Use
Request

Maple Grove Christian Church · 1503 W Simpson Chapel Rd, Bloomington, IN

Purpose & Space Requested

Select the rooms you need and provide the requested date and times

Room	Date	From	To

Expected Number of Guests *

Worship Center seats 144 persons.

Purpose / Description of Event *

Contact Information

Name of Organization

Applicant's Name *

Home Phone

Work Phone

Street Address

City

State

Zip

Email Address *

Cell Phone

Applicant Signature

By submitting this form I confirm that the information provided is accurate and that I agree to abide by Maple Grove Christian Church's facility use policies.

Full Name (as signature) *

Date *

Fields marked * are required.

Facility UseRequest

Facility Use
Request