Please fill out the form below in order to use the Immanuel Baptist Church Outreach Center. Please email any question or comments to the Scheduling Committee.
| Name (required): | |
| Email Address (required): | |
| Daytime Phone Number: | |
| Evening Phone Number: | |
| Name of Event: | |
| Expected Attendance: | |
| Age Range of Attendees: | |
| Date Requested: | Month Day Year |
| Time Requested: | Begin End |
| Please Check All Areas Needed: | Fellowship/Gym Kitchen |
| Number of Classrooms Needed: | |
| Number of Tables Needed: | |
| Number of Chairs Needed: | |
| Sound System Needed: | |
| Basketballs Needed: | |
| Please add any additional helpful comments : | |
| By clicking submit, you agree to the terms and conditions of using the facility. |
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