Facility Use Form

FBCH Facility Use Form

Date of Request

First Name

Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number

Email

Event Description

Number of Days

Date of Event

Time:

Building Needed For Use

Christian Life Center CLC

Bethany Hall

Sanctuary

Classroom

Specific number of chairs and tables needed for event

Times for doors to be open and closed

Additional Information

Person responsible for event

First Name

Last Name

Today's Date

Signature

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