First Name * Please enter your First Name

Last Name * Please enter your Last Name

E-mail * Please enter email address/username

Phone Please enter your phone

Event Name * Please enter your Event Name

Event Description Please enter your Event Name

Event Date *

Location * Home Church

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Number of People *

How did you hear about our Facilities? *

Name of Funeral Home in Charge of Arrangements *

Funeral Home Contact Name *

Funeral Home Contact Phone Number *

Funeral Home Contact Email

Will you be preparing a slide show to share? (Check Box if YES)

Yes

Do you require Food or Beverage Services (We will send a request form for you to complete. See our preferred vendor menu for options)

Yes

Will Music be performed or recorded music played? (check box if YES) SOCAN & ReSound Fees will be required in addition to any rental fee. See chart on Website.

Yes

How many rooms do you require besides the Main Room and what will they be used for? *

Do you need us to provide an Officiant and if so, do you have a preference as to who? *

If you have already booked an Officiant, please provide their Name and phone number

Questions, Comments or Special Requests

By presenting this form to Home Church, I acknowledge that Home Church can accept or reject any applications at the sole discretion of Home Church.

I have read and agree to the Terms & Conditions on the Legacy Place/Bookings page *

Yes

Real Person Verification