Room Request Form

Contact *

First Name

Last Name

Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Phone *

(###)

###

####

Rooms Requested

Covenant Chapel (use of piano requires permission)

Sanctuary (use of organ and/or piano requires permission)

Elizabeth Room

Iona Hall / Gym

Heather Room (max 40 capacity)

Commercial Kitchen (requires orientation in advance of event)

Type of Usage

Single use request

Repeated-time usage request

Event Start Time *

Hour

Minute

Second

AM PM

Event End Time *

Hour

Minute

Second

AM PM

Will your event require use of any of our keyboard instruments and/or AV equipment?

The event will require use of keyboard instruments.

The event will require use of AV equipment.

Will your event require any tables and/or chairs to be set up beforehand?

Yes, my event will require tables and/or chairs to be set up beforehand.