Group Name:        Application Date: 

Sponsoring Organization: 

Address:            City: 

State:            Zip Code: 

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Contact Person:            Title: 
Phone (day):            Phone (eve): 
E-Mail Address:            Best Time to Contact: 

Has your  group use Knox previously?  Yes       No
If "Yes" when? 

Requested Meeting Date(s): 
Requested Meeting Times:    from   to 

Purpose of Meeting:            # Attendees: 
# Rooms Needed: 
Room Numbers/Names requested (if known): 

Is this event a Fund Raiser for your organization?  Yes       No

Are tickets to be sold for this event?  Yes       No          Cost/Ticket:  $

Please describe ticket distribution process: 
              (ticket sales must be approved by the Session-Board of Trustees)

Please describe the setup you would like in each room:


Special equipment needed:

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I/we have read the Facilities Use Policy and the Schedule of Fees pertaining to the use of the Knox facility for our event and, by checking the box below and submitting this application, agree to abide to by all of them.

  I/WE AGREE

REMEMBER...DO NOT PLAN OR PUBLICIZE YOUR EVENT UNTIL YOU RECEIVE APPROVAL FROM KNOX CHURCH (approximately one week - 6 weeks if request is for the use of the sanctuary)