Tabernacle Baptist Church
Facility and Equipment Use Request
City State Zip Code
Type of activity for which the facility is requested
Is this Organization a Non-Profit?
Date of Requested Use
Beginning Time of Requested Use
Ending Time of Requested Use
Start of Actual Event
Ending of Actual Event
Number of Guests
(Fees are charged for non-church sponsored events)
Meeting Room (25 People or Less)
Number of Chairs
Number of Round Tables
6 Foot Tables
Fees are charged for non-church sponsored events. See Fee Schedule.
Statement of Agreement and Indemnification
I have read, understand, and agree to comply with all policy statements in Tabernacle's Policy Manual in the Tabernacle Properties Procedures. I agree that neither I, nor any person attending shall hold Tabernacle Baptist Church responsible or liable for any damage to person property or injury which may be incurred during the function for which this request is being submitted.
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