Event Information:

Event Information:
Full Name *

First Name Last Name
Event: *
Event Date: *
Start Time: *

: Hour Minutes AM/PM Option
End Time *

Month Day Year
Additional Date:
Start Time:

: Hour Minutes AM/PM Option
End Time

Month Day Year
Purpose for additional date:
Facilities Requested: *
Staff Requested: *
***Only White Street Staff can operate Audio/Visual Equipment owned by the church***
Additional Information or Requests:

Membership Information:
Are you or your spouse a member of White Street Baptist Church? *

Yes No
If no, are any of the following members of White Street Baptist Church? *

Your Parents Spouse's Parents Neither
If Applicable: Member's Name

Event Request Form: