Mount Moriah Baptist Church

First Name

Last Name

Email

Phone Number

Event Date

Time of Event

What is the event?

Is this a private or ministry event?

Private

Ministry

Which Ministry?

How many people do you expect?

Is this a recurring event?

Yes

No

If yes, how often?

If other, which space?

If other, explain

Would you like Mt Moriah to provide advertising graphics?

Yes

No

I dont know

If other, explain

Will you need a church key?

Yes

No

Will you be needing a church vehicle?

15 Passenger Mini-Bus

15 Passenger Van (New)

15 Passenger Van

By requesting to use Mt Moriah's building & grounds, you assume respinsiblity to clean and restore any space used back to it's original condition

I understand

All requests made above are simply requests until approved by the approriate committees and leadership and are subject to change.

I understand

Event Request Form