Lansing Community Center Request Form

Please fill out the Community Center Request Form and a member of our staff will get back to you shortly. Thank you!

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First Name *

Last Name *

Phone Number *

E-mail Address *

Mailing Address *

Other Contact Person(s)

Requested Date for Event

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Requested Start Time *

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Include any setup time needed

Requested End Time *

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Include any breakdown time needed

Which floor are you requesting? *

Use of Kitchen (1st floor only) *

Only select "Yes" if you will be needing to utilize the stovetop/griddle, oven and/or dishwasher. *Additional $25.00

Please give a brief description of your event *

i.e. birthday party, painting class, group meeting, etc.

Anticipated number of guests/attendees *

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