Facility Use Request Form - Part 1 of 2

General Information

Today's Date*:

Are You a FBCM staff member?*
No
Yes

Enter the date of the event*:

Your Group or Organization Name*:

Event Name & Description:

Enter Event Start and End Times. Note: The church security alarm is activated at 9:45 pm every day. Activities must vacate the church facility by 9:30 p.m. Other times may be accomodated. In this case, please contact the Facilities Director.

Event Start Time*:

Event End Time*:

Event RESERVE Start Time*:

Event RESERVE End Time*:

Additional information about the time (if necessary):

Number of People Expected for the Event*:

Is the Event a church related activity?*
Yes
No

If a church related activity, enter the name of the Staff Representative:

Contact Information

Name*:

Home Phone:* Click If Not Applicable :

Work Phone:* Click If Not Applicable

Cell Phone:* Click If Not Applicable

Email Address:* Click If No Email Address

Home Address. Please include city, state, and postal code*:

Food Service Information

Food Service Needed*:
None
First Baptist Mauldin to Cater this Event
Outside Caterer

If Outside Caterer is selected, please supply the following information:

Name of Caterer:

Phone Number of Outside Caterer:

Kitchen Facilities that the Outside Caterer needs*:
None
Catering Kitchen
Commercial Kitchen

Required Facility Information

Tell us which room is requested and the required setup for the room. To see room information & configurations, click here (a new browser window will open to allow you to view the configurations)*:

Tell us what audio/visual or other equipment is needed:* Click If Not Applicable

For outside groups:
Insurance Company: Click If Not Applicable

Policy #: Click If Not Applicable
Insurance Company Address: Click If Not Applicable