Request For Use of Facilities For Church Related & Special Occasions (Member Use Only)

Room/Area Requested? *

Kitchen Requested? *

Yes

No

Which Kitchen? *

Approximate number of people *

Briefly Describe Your Event *

0/140 characters

Date Desired * +

Start Time? *

End Time? *

Individual/Group Making Request? *

Phone Number *

E-Mail *

We agree to abide by the facilities' policies as established in Mount Carmel Baptist Church's Gym/ Fellowship Hall/ Kitchen Usage Policy. We further understand that it is our responsibility to leave the facility in the same state of cleanliness as we found it.

Signature *

Today's Date * +

Enter the word in the image *
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