REQUEST FOR WEDDING RESERVATIONS

Louisa Baptist Church

P.O. Box 552

Louisa, VA 23117

(540) 967-1364

Name of Bride ___________________________________________________________

Present Address __________________________________________________________

Home Phone _____________________ Work Phone _________________________

Name of Groom _________________________________________________________

Present Address __________________________________________________________

Home Phone ____________________ Work Phone _________________________

Married Address _________________________________________________________

Is either a member of Louisa Baptist Church? Yes _______ No ________

Officiating Minister __________________________

Please reserve:

Sanctuary for Rehearsal Date _________ Time _______ to ______

Sanctuary for Wedding Date _________ Time _______ to ______

Fellowship Hall for Rehearsal Dinner Date _________Time _______ to ______

Fellowship Hall for Reception Date _________Time _______ to ______

Kitchen needed to serve in? Yes ______ No _____ Kitchen needed to cook in? Yes ______ No _____

Sound Technician Needed? Yes ______ No _____

Please return form with deposit to the church office or to the pastor at your earliest convenience as your reservation can be confirmed only upon receipt of the above information and following an initial contact with the pastor.

We agree to comply with the rules and regulations of the Louisa Baptist Church, as outlined in the Guidelines for Use of Church Property.

__________________________ _________ _________________________ _________

Bride Signature Date Groom Signature Date

__________________________ __________ For Church Use:

Signature of Approval from Date Total Fee Required ____________

Building and Use Committee Sound Technician ____________