Facility Rental Request Form

Facility Rental Request Form
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Group / Organization
Number of attendees
Organization Type

For-profitNon-profit
Event Type

Group sponsoredSelf sponsoredFund raiser
Type of Event: Birthday party, reunion, etc.
Are you a member of Juniper Level Missionary Baptist Church

YesNo
$150.00 is required to hold a date. After we receive your completed form, you'll be contacted to discuss your registration and submit your security deposit of $150.00
Should be Empty: