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As we welcome in 2015, our family at Zion Baptist Church wish you a very blessed and spirit-filled new year.

Zion Baptist Church Family Life Center Reservation Request Form

Please complete this form in its entirety.  Failure to fully complete this form may result in your request being rejected.  When possible, please provide alternate acceptable dates for your request, should your preferred date be unavailable.


Contact Information

First Name:*
Last Name:*
Organization/Company Name:
Email Address:*
Primary Phone #:*
Alternate Phone #:

Reservation Dates & Time

Desired Time for Event:* (Format: hh:mm AM/PM)
Preferred Date for Reservation:* (Format: mm/dd/yyyy)
First Alternate Date: (Format: mm/dd/yyyy)
Second Alternate Date: (Format: mm/dd/yyyy)

Event Details

Please provide details as to the type of event, the number of guests expected, how long the event is expected to last, and who will the primary contact person during the event.  Any additional details needed by Zion Baptist Church will be discussed once you are contacted by a member of the church's staff.

Event Details:*
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