Facility Use Form

First Baptist Missionary Church

Member and Ministry

Application for Usage Please complete all information
Name of applicant:
Ministry:
Contact number:
Date of application:

MonthDayYear
Date
Usage Date:

MonthDayYear
Date
Time:
Purpose:
Areas to be used (check all areas needed)
Select Areas to be used. (check all areas needed)

SanctuaryFellowship HallSteam TableKitchenChurch YardClassroomsConference Room
For office use below:
Approval:
Deacon
Date

MonthDayYear
Trustee Chair
Date

MonthDayYear
Pastor
Date

MonthDayYear
- Request must be made in writing on form provided and submitted to the office for approval 30 days prior to the planned event.
- Approval will be given in writing.
- All plans for decorations must be submitted for approval.
- Decorations must be removed immediately following the event.
- The kitchen must be left clean and orderly.
- You must ensure that the premises are left in "broom ready" condition.
- Please convey to the office or designated person any problems or concerns as soon as possible.
Received in office by
Date

MonthDayYear
Date
Should be Empty:

For office use below: