Block Party Trailer Application
*A $200 (refundable) deposit and $50 (non refundable) fee must accompany this application.
Make checks payable to Tri County Baptist Association, PO Box 370, Nixa, MO 65714
Requested Date of Use *
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Time
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Return Date *
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Time
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DATE OF EVENT *
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Time
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Name of Church *
Pastor *
Mailing Address *
City *
State
Zip Code *
Phone Number *
Purpose of Use *
Person Responsible for the Trailer *
Email Address to Confirm *
Position
Phone:Office
Home
Cell *
We, the undersigned, make application for scheduling the use of the trailer with the assurance that we assume responsibility for complying with the guidelines and for use of the trailer. *
Pastor's Approval
Today's Date *
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Person Responsible for Trailer-(Typed name authorizing as signature) *
Submit
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