Facility Use Request Form

Name

Email

Phone

Name of the Event

Describe the Event

Event Schedule

Start Date of Event

Start Time of Event

End Date of Event

End Time of Event

If this is a repeating event, please describe the frequency.

Decorations and Setup

How many tables are needed?

How many chairs are needed?

Does this event need audio or video support?

Yes

No

If you need to decorate or prepare for this event in advance, please describe the decorations and give the date and time you want to begin decorating.

You may decorate for your event in advance, but please leave no trace of your event when you leave. Please refrain from using paint, nails, staples, double-sided tape, or anything else that permanently alters the walls, floor or ceiling in any way. Masking tape, painter’s tape, and sticky-tack are preferred. I understand and agree to the Decoration Policy:

Yes

No

Facilities Use

If Other is selected, please specify.

Approximately how many people will be attending?

Facilities Use and Custodial Fees

Custodial Fee: $100 (non-refundable)
Additional Facility Use Fee: $200 for non-members
All payments must be made in full to First Montgomery Baptist Church prior to event.

Signature

Date Input