Word of Life Bentonville - AR - Want to use our building

Form request at least on month prior to event. Submission of form is not a guarantee of approval. We will ask for a $200 cleaning/building use fee upon approval unless prior arrangements have been made.

First Name

Last Name

Phone Number

Date of meeting:

Time of meeting (list start and end time):

Organization if applicaple:

Type / Purpose of meeting?

List all equipment needs, ie: tables, chairs, TV's etc...:

Do you need a sound technician?

Yes

No

Not sure

Expected number to attend:

Do you need WLF to provide Childcare?

Yes

No

N/A

If providing your own child care, you understand no classroom will have less than two leaders at any time; one must be over 18 and background checked (additional fees may apply)?

Yes

No

I don't need childcare

Signature

Service Times

Contact Info

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