Calvary Baptist Church Bastrop

CBC Building Use Form

On behalf of ( Organization / Church Group / Individual )

I, ( Group representative )

am requesting to use CBC on

From (give start and end times. Include a.m. / p.m.)

for the purpose of

Affiliation with CBC

Member

Regular Attendee

Not Affiliated

I am requesting the following facilities:

Large Auditorium

Small Auditorium

Fellowship Hall

Kitchen

I am also requesting to use the following classrooms:

I request the sound/media system:

yes

no

I currently have keys to the facilities requested:

yes

no

I plan to charge any or all attendees for this event:

yes

no

Proved a brief explanation of the fee you plan to charge. Though we aim to support like-minded functions, the use of CBC facilities to support the income of individuals is not part of our mission.

First Name

Last Name

Phone Number

Email

I have read the Facility Use Agreement, Fee Schedule, and Cleaning Checklist.

Yes

No

By signing, I agree to abide by the Facility Use Agreement, Fee Schedule, and Cleaning Schedule.

Signature

CBC Building Use Form

Service Times

Contact Info

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