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IDENTIFICATION

* Ministry Leader:
* Address:
* Telephone:
Fax:
* Email:
* Ministry:
* Position:

ACTIVITY PLANNED

* Event:
* Number of Persons Attending:

WHEN NEEDED

* Day or Dates:
One Time Event: Repeating Event:

* Set-up Start Time:
* Event Start Time:
* Event End Time:
* Tear Down End Time:
* denotes required fields

FACILITIES NEEDED

SERVICES NEEDED

Sanctuary: Nursery Supervisor:
Kitchen: Set up:
MultiPurpose Room: Supervision by Custodial Staff:
Classrooms: Clean Up:
Youth Room: Kitchen Supervision:
Community Room Video Tech:
Madison Place Kitchenette Sound Tech:
Van:

EQUIPMENT NEEDED

Number of Tables:
Number of Chairs:
Sound System:
Laptop and Projector:
Video Projector:
TV/DVD/VCR Combo:
Additional Comments:



*I have read and agree to the Property Use Policy of Madison Square Church


Sunday Services at the Square: 8:30, 10:00 & 11:30am, and 6:00pm
Sunday Service at Ford (6 blocks North @ 851 Madison Ave SE): 10:00am
1441 Madison Avenue SE Grand Rapids, Michigan 49507
Phone: (616) 245-7791 Contact Us
Property Use Request Form