Facility Use Request
Please fill out this form to begin the application to use IBC Facilities. All requests should be submitted at least 10 days in advance.
Event Information
Name of Group/Person Requesting Use
*
Is this event an IBC ministry or private event?
*
Please select all that apply.
IBC Ministry
Private
Contact Person
*
Phone
Email
*
This address will receive a confirmation email
Address
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Date(s) Requested
Event Scheduled Time(s)
Setup Time(s) Requested
Cleanup Time(s) Requested
Facility and Type of Request
Number of Participants
Number of Adults
Facility Use Agreement
Applying for facility use indicates full acceptance of Facility Use Statement as provided below.
Check to indicate reading and accepting Facility Use Statement
*
Please select all that apply.
Yes
Enter Full Name
Enter Date Signed
If you have an insurance certificate of liability, please attach.
Upload (8MB)
Submit
Description
Please fill out this form to begin the application to use IBC Facilities. All requests should be submitted at least 10 days in advance.
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