Building Request

Today's Date:
Email Address:

Purpose for using the building (details please):
Characters Left

Date(s) you request use of the building:
Time: From Setup: 
To Clean Up: 
Estimated number in attendance:  
Area of the building or grounds you wish to use:
Family Center/Gym Area
Kitchen    Contact Joyce Arters at least 1 week prior to your event for additional kitchen information. (717 407-5097 or
In what way will the kitchen be used?
Classrooms (how many?)  
Other (please specify) 
Do you need to use any equipment? 
If so, please specify: 
Do you have a key to the building?  If not contact the church office at least 1 week prior to your event to insure the doors will be opened. The office phone number is 610-269-8651
* Remember, your party is ONLY permitted to use the designated area(s) you have requested.
Proof of Insurance (must be supplied to the church 1 month ahead of time of use - if required).

Verification Check:

Type the characters that you see in this picture.

Characters are not case-sensitive.

When finished please click the Submit button. (you will be contacted by the church office as soon as your request has been processed)After clicking the submit button you will receive a request number, if you do not receive that number please call the church office.

  (may take a minute to process the information)