Crosspoint Community Center Request Form

Once your event and date are approved an agreement form will be given that needs signed prior to event.

Your name *

Email address *

Phone number

Are you the primary contact for the requested event? *

If you are not please indicate the primary contact in the text box below.

Primary Contact Name & Phone Number if Not Person Completing Form

Event Type *

Please indicate the intended purpose of event (shower, birthday party, Point Group gathering, etc.)

Date of Event *

Time *

Please include arrival and departure time.

Number of Anticipated Guests *

Requested Event Space *

Meeting Room

Back Porch/Patio

Turf

Gym Space

By checking this box I understand I am responsible for cleaning up following the event and will be held responsible for any damages that occur. *

Is there any additional information you would like us to know about your event? Including other equipment/furniture needed

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