Grace Community Center Reservation Form

Please fill out this form and click submit. Go to www.gccsikeston.org to review the User Agreement. Reservations are not considered complete until a signed User Agreement is completed with a representative of Grace Community Center.

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Event Information

Please provide a brief description of the event.

*

Date Requested

*

Desired Start Time

*

Please select one option.

9 a.m. 10 a.m. 11 a.m. 12 p.m. 1 p.m. 2 p.m. 3 p.m. 4 p.m. 5 p.m. 6 p.m. 7 p.m. 8 p.m.

Desired End Time

*

Please select one option.

10 a.m. 11 a.m. 12 p.m. 1 p.m. 2 p.m. 3 p.m. 4 p.m. 5 p.m. 6 p.m. 7 p.m. 8 p.m. 9 p.m.

Event Flyer (upload if available)

Upload (8MB)

Other Info?

Payment Information

Payment will go towards any user fees and/or deposit, and may be refunded after the event. See the user agreement for further information.

Payment $25.00

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form and click submit. Go to www.gccsikeston.org to review the User Agreement. Reservations are not considered complete until a signed User Agreement is completed with a representative of Grace Community Center.

Please Fix the Following

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