Please complete the online Event Schedule Request Form or Download the PDF form, complete and fax back to the church at 972-285-6043.

Each church ministry group* that uses church facilities is asked to do the following:

  • Dispose of all trash and garbage in the dumpster
  • Clean kitchen, if used, (and remove all personal dishes)
  • After your event, set up the area used for the next group's use, if on Friday night or Saturday

*Personal use of church facilities is subject to a setup, utilities, and cleanup charge payable upon approval of request.

E-mail address*
Event*
Number expected 
to attend
Event Date*
Mon Tue Wed Thu Fri Sat Sun

Location

 Worship Center Fellowship hall Choir Room
Youth Room (B230) Other
Time of Event Start  End
Time of Facility Open Close
Address
(if off campus)
Sponsoring Group
Contact Person*
Phone (home)*
Phone (work)

Please check all that apply to your event:

Church Van

 (Subject to approval)
Drivers Name  
License #
Date of Birth
Departure Time
Return Time

Kitchen

  
Plates Plastic Ware Cups Other

A/V Equipment (Sound)
Sound Person  TV CD Player
Video Projector VCR Microphone(s)
Overhead Projector Screen 
Other
Childcare "Special events childcare form must be completed prior to approval"
Babies 4's
1's 5's 
2's  Grades 1-3
3's  Grades 4-6
Special Note  

*Required Fields

 

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Mimosa Lane Baptist Church - 972-288-7426 - info@mimosalane.org