Rental Request Form
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
*
Begin Setup
Start Time
*
End Time
*
End Teardown
Location(s)
*
2409 Walnut Ave.
3309 Neely Ave.
8700 Hwy 191
View Location Conflicts
Public?
Public Notes
Public Link
Number of People
*
Second Choice Date
*
Event Type
*
Wedding
Quinceañera
Family Event - Birthday, Graduation, Baby Shower, etc.
Other
Do you tithe (give 10% of your annual income) to Mid-Cities Church?
*
Yes
Have you spoken with a staff member concerning your request?
*
Yes
If so, who?
Real Person Verification