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South Haven Facility Use Request Form

Your name *

Last name

Email address *

Set up needed:

Date of the Event (MM/DD/YYYY) *

Type of Event *

(Birthday party, meeting, dinner, etc.)

Purpose of Event *

(Community Meeting, Sunday School gathering, celebration, etc.)

Guest Speakers (if any) *

Total Time for Event *

(Include set-up and tear down time)

Actual Time of Event *

(Times event starts and ends)

What time would you like the entrance unlocked for your event? *

(Entrance will automatically lock 30 minutes after the beginning of event unless otherwise requested.)

What doors need to be unlocked for the event? *

(Entrance/exit for the event)

Family Life Center Entrance

Rotunda Entrance

Office Entrance

Number of Adults planning to attend: *

Number of Children/Youth planning to attend: *

Phone number *

Phone type

Contact Person *

(Person in Charge)

Address *

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Area(s) Requested (please check all that apply) *

Family Life Center

Family Life Center Room # 1

Fellowship Hall

Main Gym

Gym Room # 1

Downstairs

Worship Center

Grounds

Room 122

Room 123

Room 124

Room 125

Room 126

The HUB

Set up needed: *

(Round Tables, Small Rectangle Tables, Long Rectangle Tables. Please type in what you need with how many)

Special requests or comments (i.e. tables, table cloths, pantry, chairs, mics, video, audio) *

*Please note: Audio and Video systems can only be operated by individuals approved by Pastor Mat Cowan)

I have read and understand South Haven Baptist Church guidelines and will abide by these guidelines. *

Signature: *

This form must be completed for approval in order for your date to be scheduled and placed on the calendar.

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South Haven Baptist Church
contact@south-haven.org
417-881-7636

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