Contact Information

First Name:

Last Name:

Phone number:

Email:

Address:

City:

State:

ZIP:

Are you a member of Mosaic?

Event Information

Please check one:

Date (due to staffing availability this facility is currently not available for funerals on Fridays or Saturdays):

Time:

Duration:

Event Type:

Who is invited to this event (if applicable):

What is the age group (if applicable):

Is there a cost to attend?

Cost to attend:

Are tables needed?

How many:

Are chairs needed?

How many:

What areas of the building do you plan to use:

*Due to COVID-19, our seating areas are at 50% capacity and our kitchen and classrooms are unavailable. The options below show normal capacity*

Will you need any of the following:

After submitting, our building coordinator will contact you to go over the terms of building use.

Thank you for your inquiry!