Event Information:

Event Information:
Full Name*

First NameLast Name
Event:*
Event Date:*
Start Time:*

:HourMinutesAM/PM Option
End Time*

MonthDayYear
Additional Date:
Start Time:

:HourMinutesAM/PM Option
End Time

MonthDayYear
Purpose for additional date:
Facilities Requested:*
Staff Requested:*
***Only White Street Staff can operate Audio/Visual Equipment owned by the church***
Additional Information or Requests:

Membership Information:
Are you or your spouse a member of White Street Baptist Church?*

YesNo
If no, are any of the following members of White Street Baptist Church?*

Your ParentsSpouse's ParentsNeither
If Applicable: Member's Name

Event Request Form: