Facility Request Form ← BackThank you for your response. ✨ Date Submitted (YYYY-MM-DD)(required) Event Name(required) Description(required) Dates Needed (YYYY-MM-DD)(required) Contact Name(required) Phone(required) Email(required) Choose several options Yard Main Area Kitchen Dishes and Cookware Tables Chairs TV Dry Erase Board Fees: Non-CPBA church or Ministries – $75.00 per day x d a y s =. REQUIREMENTS FOR FACILITIES USE 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. Submit FormSubmitting form
