Ministry Name
Name
First Name
Last Name
Home Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Location Requested
Family Life Center (FLC)
DG Gray Fellowship Hall (DGH)
Julius Bradley Choir Room (JBH)
Neshoba Center (P)
Other
Date Requested
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Start Time
Hour Minutes
AM
PM
AM/PM Option
End Time
Hour Minutes
AM
PM
AM/PM Option
Meeting Type
One-Time
Recurring
I agree to take full responsibility for the facility location requested, while conducting any meeting or rehearsal at New Sardis Church. I understand that it is also my responsibility to ensure the facility location is cleaned and restored to previous state. I also take full responsibility for any damages that may occur.
Please verify that you are human
*
Continue
Continue
Should be Empty: