LPBC Gym/Kitchen Use Request Form
Lake Placid Baptist Church is so excited to make our facility available to our community. We always pray that those who enter our facility will enjoy their time here. Please know that we always have time for you, whether to help celebrate a special moment or to help answer life’s difficult questions. Feel free to give us a call anytime!

Please complete this form if you would like to submit a request to use our 1/2 gym, bounce house, and kitchen. the suggested donation for a standard 4-hour time slot is $140.00, payable at the time you sign the contract prior to your event, either by check or cash only.
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Email *
First and Last Name *
Best phone number to reach you *
Have you used our facility before? *
Requested date for facility use *
MM
/
DD
/
YYYY
Requested time for facility use (Please plan for this time to include set up and clean up. If you need more than 4 hours, each additional hour is $25.00). *
Required
Whay type of event is this?
If a birthday party, age of person celebrating
Do you plan to use the kitchen? *
Do you plan to use the bounce house? *
I have read and agree to the Facility Use Contract linked here: https://drive.google.com/file/d/11MX6jA_0Yl00QrC7cth8Q_QUfXEAapSo/view?usp=sharing *
I understand that LPBC will contact me via email to make arrangements for me to stop into the church office at least two weeks prior to my event to sign the contract, submit payment (cash or check made payable to LPBC), and have a walk-through orientation of the facility. *
Required
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