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Activity Request Form

 

Activity Request Form
 
Make reservations at least five working days in advance.  Please check availability of the facility by calling 479-524-5176, before filling out this form. Harvard Avenue Baptist Church reserves the right to deny any request for facility usage.
 
Date of Activity:   (mm/dd/yy)
 
Date Request Submitted:   (mm/dd/yy)
 
Name of Activity: 
 
Activity Coordinator: 
 
Phone Number: 
 
E-mail Address: 
 
Address:
 
 
The Time Facility Needs to be Set Up: 
 
Facility or Room(s) Needed: 
 
Actual Start/Stop Times for the Event: 
 
Anticipated Attendance: 
 
Check All Equipment Needed:
 
 PA System  TV/VCR Cart         LCD Projector
                  
 Screen                    Overhead              

Other (Please Describe)
 
Number of Tables & Type:
 
Number of Chairs: 
 
Please describe the desired room set-up below:



 

Services

Sunday:
Bible Study 
9:15am
Worship | 10:30am

Wednesday:
Student Ministry | 5:30pm
Children's AWANA | 6:00pm
Prayer Gathering | 6:00pm