Name *

First Name

Last Name

Date of Event *

MM

DD

YYYY

Set-Up Date *

MM

DD

YYYY

Set-Up Time *

Hour

Minute

Second

AM PM

Event Start Time *

Hour

Minute

Second

AM PM

Event End Time *

Hour

Minute

Second

AM PM

Production Equipment Needed *

* Standard technical services provided for weddings/funerals include microphone(s) for minister(s) and lights turned on. * A representative will need to meet with our Worship Leader for FBC to do a walk through for use of the audio/visual equipment before the date of the event. During the meeting the Worship Leader will advise the representative on what connectors/adapters will be needed. The organization will be responsible for providing adapters. FBC will not provide adapters for events.

Microphone

Video

None

Will you be needing the kitchen? *

Yes

No

Date of Kitchen Use

* Kitchen request must be given at least 10 days prior to event.

MM

DD

YYYY

Time of Kitchen Use

Hour

Minute

Second

AM PM

By checking 'I agree' you are agreeing to having read, understood, and agreed to the Facility Use Policy of First Baptist Church. You also accept full responsibility for the care and clean-up of the kitchen if you use it. You agree to wash, dry, and return all kitchen equipment to its proper place. *

* Checking 'I agree' will serve as your electronic signature for the Facility Use Request Form.

I agree