Name *

First Name

Last Name

Date Requested *

MM

DD

YYYY

Alternate Date Requested

Just in case your first choice isn't doable.

MM

DD

YYYY

Time of Event *

Please include time for set-up and clean-up.

Hour

Minute

Second

AM PM

Will you be using the kitchen? *

Consider if you will need a sink, which are in the kitchen and bathroom only. Refrigerators and microwaves are offered outside of the kitchen.

Yes, it is crucial.

Yes, but just to do quick simple prep

No, the kitchen can remain off-limits

I don't know yet

Would you like the coffee bar to be open for business during your event? *

Yes, please!

No, thank you.

Either is fine.

Do you attend The Indianola Church? *

Yes

No