Emmanuel Church

Facility Key Form

Please fill out the following information regarding the facility key(s) that are being distributed to you.

Key Agreement

Key number(s) distributed to me:

The purpose for me having a key is:

I will not duplicate or loan out the key(s) entrusted to me and will only use the key(s) for ministry purposes. I will return the key(s) to the office when I no longer need the key(s) for the purpose stated above.

Do you agree?

Yes, I agree.

First Name

Last Name

Phone Number

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

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