Church/Family Life Center Reservation Form

Date
MM slash DD slash YYYY
Person Reserving The Church Building*
First Last
Phone*
Date Requesting for The Reservation*
MM slash DD slash YYYY
Name or Person Signing for the Keys*
First Last
Date Keys to be picked up*
MM slash DD slash YYYY
Date Keys To Be Returned*
MM slash DD slash YYYY
Rooms Or Building You Are Wanting To Reserve*

Please list the rooms or building that you are wanting to reserve. ex: gym, parquet room, family life center, church, ss rooms, etc.)
Start Time*

: Hours

Minutes

AM/PM

What time will you need the reservation to start
End Time*

: Hours

Minutes

AM/PM

What Time will you be done or finished
Event Taking Place*

Please give us a brief description of the reason for reserving the church building?
Is this a church related function?*
- Yes
- No
Consent*
I agree to the church's policy.
The person reserving the center and/or church that will be in charge must be a member of Bethlehem Baptist Church and 21 years of age or older. They also must be present at the time of the function. This person will be responsible for picking up the keys to the buildings and returning the key to the church office.
What is 1 + 3?

Answer the question and the submit button will pop up.
Name
This field is for validation purposes and should be left unchanged.