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Facility Request Form

Resources Requested (Check all that apply)(required)

  • Fees: Non-CPBA church or Ministries – $75.00 per day x d a y s =.


  • Liability waiver– Document stating that you accept any and all liability during your event.
  • Proof of insurance.
  • Statement of background check– Document stating that any workers who deal with children have passed a background check.
  • You agree with the beliefs and doctrine of the Clay-Platte Baptist Association.
  • Approval must be given by Clay-Platte Baptist Association Leadership Team.

We respect your specific requests and we would like you to do the same in regard to our facility. God has richly blessed us with a building in which to serve him. We ask that you and your entire party respect this facility and treat it with the utmost care.