Facilities Request Form - First Baptist Church Brookhaven

Today's Date*

Your Information

NAME OF PERSON MAKING REQUEST:*

First Last

Email*

Phone*

Your Event Information

This is a:

Single Event

Recurring Event

Name of Event*

Event Start Date*

Event End Date*

Date of Event First Occurance:

Date the Recurring Event Ends

This event repeats:

Daily

Weekly

Monthly

Custom (ex. on the 2nd Monday)

Enter Custom recurrance description:

EVENT START TIME:*

:

EVENT END TIME:*

:

How much preparation time do you need?*

More Time Needed:*

NAME OF PERSON RESPONSIBLE FOR CLEAN UP:*

First Last

Room Arrangement, Tables, and Chairs

Room Arrangement

As is - no modifications

I need a specific arrangement with tables and chairs

ROOM ARRANGEMENT INSTRUCTIONS (You can upload a diagram)

File Upload

Drop files here or

Accepted file types: jpg, jpeg, pdf, png, Max. file size: 5 MB.

Number of chairs*

Number of 6ft. rectangle tables*

Number of 8ft. rectangle tables*

Number of 8ft. round tables*

Food Service

Are you using the church food service or outside catering?

Church Food Service

Outside Catering

HOW MANY PEOPLE DO WE NEED TO PREPARE FOOD FOR?*

PLEASE LIST THE MENU BELOW:*

SPECIAL INSTRUCTIONS TO THE CUSTODIAN

Name of Catering company:*

Phone of Catering company*

Notes/Special Directions

In making this request, I agree to abide by the policies of First Baptist Church as to the use of the building and will assume the responsibility of any extra cost for custodial services incurred by the church.

Signature*

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COPIES TO:

Church Hostess

Custodians

Other:

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IF TAKEN BY PHONE:

Initials

Date

Time

FACILITY REQUEST FORM

Your Information

Your Event Information

Additional Event Information

Room Arrangement, Tables, and Chairs

Audio / Video Request

Food Service