Building Request Form Name * First Name Last Name Email * Phone * (###) ### #### Which area are you interested in reserving? * Fellowship Hall Multipurpose Room Gym Sanctuary Date of Request * MM DD YYYY Time of Request * Hour Minute Second AM PM Intended Purpose: (i.e. Birthday, Anniversary, Reunion, etc.) * Are you currently an Active Member of FBC Belmont * Yes No Any other request Here you can share any request you may need from FBC Belmont such as: seating, tables, etc. I understand that should the request be granted, that the contact listed above is responsible for abiding by FBC Belmont's Building Request Form and Completing the Check list after the conclusion of the Event. * I agree Thank you!