Facility Usage Form

Please fill out this form and click submit.

NOTE: No activity request is final until it has been approved. This process could take up to three weeks. The Contact Name on this activity request will be notified of the approval status. Associated fees must be paid immediately upon approval to Seagrove Baptist Church.

Contact First & Last Name

*

Email

*

This address will receive a confirmation email

Phone

*

Organization

Activity

*

Date of Activity

*

Is this a reoccurring event?

*

Please select one option.

Yes, weekly on the same day & time Yes, monthly on the same day & week No, it is a one-time event

Start Time

*

End Time

*

Approximate # of Participants

*

Equipment Needed? *Sound and Multimedia will have a fee for an A/V Tech to be present.

*

Please select all that apply.

Audio Multi-Media (Video Projection) Tables Chairs Kitchen Other

Are you a Member or Associate Member of Seagrove Baptist Church?

*

Please select one option.

Yes No

Please provide a brief summary of this activity

*

Description

Please fill out this form and click submit.

Please Fix the Following

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