Gethsemane Baptist Church Facility Request
Name of Contact
*
First Name
Last Name
Organization (if applicable)
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
Phone Number
*
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Area Code
Phone Number
Date Needed
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Month
-
Day
Year
Date
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12
:
Hour
00
30
Minutes
AM
PM
AM/PM Option
Number of people expected
*
Purpose of Use
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Community Gathering
Concert
Funeral
Meeting
Sporting Event
Wedding
Other
Type a question
Arrival Time
*
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2
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11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Departure Time
*
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2
3
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5
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10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Total Hours
*
Select area(s) to reserve
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Sanctuary
Fellowship Hall
Outdoors/Grounds
Indicate Service needs
*
Parking Attendants
Ushers
Minister of Music
Audio Visual Services
Custodial Services
Indicate Audio/Equipment needs
*
Choir Microphones
Solo Microphones
Drums
Keyboard
Organ
Projector/Screen
Other
Please communicate additional details related to use of facilities (i.e., number of solo mics, need to display video content, etc.)
Signature of Responsible Party
*
Submit
Should be Empty: