Grace Community Center Reservation Form

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

Name

This address will receive a confirmation email

Phone

Address

Event Information

Please provide a brief description of the event.

Date Requested

Desired Start Time (include any setup 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 (include any cleanup 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? (If you selected the

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.

Building Use Option

Please select one option.

Hourly ($25 per hour) Daily ($200 for 8 hours, includes $50 refundable deposit) Event ($300 for 8 hours plus 3 hours for setup/cleanup, includes $100 refundable deposit)

Reservation Fee $25.00

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Grace Community Center Reservation Form

Description

Please Fix the Following