MSBC Facilities Use Request Form

To reserve a room at MSBC for church related ministry events please complete the form. If you are an outside organization or church wishing to use our facilities please contact the office at 607-432-5712 or msbc@msbchurch.org to have the correct form sent to you.

Name

This address will receive a confirmation email

Phone

Date that event will take place

Name and/or purpose of event? (Meeting, event, function etc)

What MSBC ministry is sponsoring this event?

What time will event begin?

Is time needed before/after the event for set up/clean-up?

Please select one option.

Yes No

If set up required what time will you arrive? (This time will be used to reserve the room on the facilities calendar for your use.)

What time will event end?

What time do you expect to be cleaned up? (This time will be used to reserve the room on the facilities calendar for your use.)

Will event repeat?

Please select one option.

No Weekly Bi-Weekly Monthly

If repeating what day of week?

Please select one option.

No Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Which week(s) of month

Please select all that apply.

Not repeating 1st 2nd 3rd 4th 5th

When will repeating end?

Rooms Needed

Please select all that apply.

Board Room Bluefield's Downstairs Bluefield's Upstairs Dining Room Gym (Briggs Hall) Kitchen Sanctuary Stained Glass Room Welcome Center Other? Please Note Below

Other miscellaneous comments?

Please provide a description of your event for the church calendar that gives details of the activity (what you will be doing, planned event).

MSBC Facilities Use Request Form

Description

Please Fix the Following