Facilities Use Request - Bethany Bible Church

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

What is your connection with BBC?*

Member
Regular Attender
Neither

Name of Organization (if applicable)

Purpose of Organization (if applicable)

Primary activity in which organization is engaged (if applicable)

If applicable, is this organization operated for profit?

Yes
No

If applicable, is this organization a non-profit religious organization?

Yes
No

Have you contacted any public or commercial facilities (i.e. Convention Center, etc.)?*

Yes
No

Reason(s) that these facilities are not appropriate for your proposed activity*

What is the purpose and/or nature of the proposed activity?*

Is this a one-time event or is it recurring?*

One-Time
Recurring

If recurring, how often will it occur?*

Weekly
Monthly

Event Date or Date of First Meeting*

Event End Date (if applicable) or Date of Last Meeting

Event Start Time Requested*

: HH

MM

Event End Time Requested*

: HH

MM

Set Up Time Requested*

: HH

MM

How many people are expected to attend?*

Will your event require multiple rooms?*

Yes
No

Will there be a financial charge to attendees?*

Yes
No

If yes, how much?*

Will anything be sold or distributed in association with the event?*

Yes
No

If yes, describe*

Will you need technical audio/video and/or media support?*

Yes
No

If yes, what will you need?*

Will food be served at the event?*

Yes
No

And if yes, what will be the source of the food?*