LUMC Access Key Request

Name

Email

Address

Phone

Reason for Access Card or Key Request

Select which best describes you:
Church StaffBright Beginnings StaffCommittee ChairpersonTrusteeChurch Member-organizerContracted Service ProviderOther Church MemberOther Non-church Member

Description of activity / event / service / reason for request

I am a committee chair, event/meeting organizer or key individual who unlatches the door(s) to provide free passage for my event participants.

Current Key Holder
I was previously issued a key to the church prior to June 2011?

Key Number(s) if above was checked (e.g. A, AB,A8, etc.)

Access Times, Dates and Duration

Times
Morning: 7AM - 12PMAfternoon: 12PM - 5PMEvening: 5PM - 9PMNight: 9PM - 12AM (explain below)Early AM: 12AM - 7AM (explain below)Other (explain below)

Comments / Explanation

Dates
UnspecifiedSpecific Date(s) (specify below)

Date(s):

Exterior Access

Electronic Key Access Doors
Parking Lot Education WingParking Lot Sanctuary / Youth Rm / Choir4th St Church OfficeBroad St / StringerPastor's Office

Other Exterior Doors
Other exterior doors

Describe any special needs

Interior Access

Intrerior Doors, Closets and Locks
Church OfficeSenior Minister OfficeAssociate Minister OfficeOffice Conference RoomOffice Equipment RoomChristian Education ClassroomsChristian Education Room ClosetsBright Beginnings ClosetKitchenKitchen ClosetsCustodian ClosetsChoir Room & Closets

Special Areas
Counting RoomConference Room ClosetMissions Storage RoomArchives Room

Other Area(s)

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