Facility Use Request Form

Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Date Requested

MonthDayYear
Date
Start Time

Hour Minutes

AM/PM Option
End Time

Hour Minutes

AM/PM Option
Type of Event
Expected Number of Guests
Space Requested

SanctuaryFamily Life CenterD. G. Gray HallNeshoba BuildingClassroomsKitchenChurch CampusVestibule/FoyerJ. Bradley Music HallPrayer GardenFLC Conference RoomAdmin Conference Room
Setup Required

YesNo
Please indicate any equipment needs

PodiumProjectorScreenLaptopEaselOther
Special Instructions
This is a building designed and maintained for Christian usage. Each requestor will agree to abide by the rules of the Church.
The New Sardis Baptist Church Events Coordinator will contact you with additional information. (Note: The date requested is not confirmed until deposit payment is received.)
Please verify that you are human*
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