Media Request Form
The media request form is for church staff and church members to request media support for various ministry activities and events. Please fill out as much information as you can so that we may better assist you with the project you are working on. We look forward to serving with you in building up the body of Christ and advancing His Kingdom.
Are the event date/s approved and on the calendar? *
(If no, please contact church office to get event on calendar before filling out this form.)
For internal events (church only) submit 30 days in advance. For external events (for the community) submit 90 days in advance.
Date Submitted *
MM
/
DD
/
YYYY
Name *
Your answer
Email *
Your answer
Phone number *
Your answer
What ministry will this be used for? *
Your answer
Ministry Needs, Please Check All That Apply *
Required
Title of Project *
Your answer
Date of Event *
MM
/
DD
/
YYYY
Start Time *
Time
:
End Time *
Time
:
Date materials needed *
MM
/
DD
/
YYYY
Equipment needs
Your answer
Brief description of project. *
Your answer
What is the purpose or goal of this project/program? *
Your answer
Who is the intended audience? *
Your answer
Disclaimer: Antioch Baptist Church reserves the right to refuse rental or use of our facilities/equipment for any reason.
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