Kirby Free Will Baptist Church

Kirby Church: Room Request Form

IMPORTANT: Upon use of the room(s), it is your responsibility to (1) clean up the rooms afterwards (includes sweeping, mopping, cleaning counter tops, taking trash out, etc), (2) set room back up as you found it), (3) check thermostats & make sure doors are locked. It's important that you clean everything that was used (ie: bathrooms, where people entered & exited, etc).

Name * First Last
Email *
Phone Number * ### - ### - ####
Room(s) Requesting *
Date(s) *
Time(s) *
Purpose of Request *
Today's Date * MM / DD / YYYY
Do Not Fill This Out