Name of Organization

Tip: If applicable (we will need a copy of your organizations liability policy). Your organization agrees to hold harmless Friends Baptist Church for any and all liability during your event.

Is your organization a non-profit? *

First Name *

Last Name *

Home Address *

Home State *

Email Address *

Are you a member of Friends Baptist Church? *

Home City *

Home Zip Code *

Mobile Number *

Friends Baptist Church Member/Sponsor

Event Name *

Purpose of Event & Event Description* *

Tip: Please include a detailed description of the event.

Event Start Date *

Event Start Time *

Number of Adults Expected*

Event End Date (only if recurring)

Event End Time *

Number of Children Expected*

Event Notes

Tip: Include event frequency, any skipped dates, special room requests or special instructions.

Will food and/or beverage be served?

First Name

Email

Last Name

Mobile Number

I have read, understand and agree to abide by all the terms in the Facility Usage Policy. *