Facilities Registration Form

Organization / Organizacion

Ministry / Ministerio

Please enter your Ministry Name / Por Favor Ingrese el Nombre de su Ministerio* remaining

Name / Nombre

First Name*

Last Name*

Phone / Telefono

Required* --

E-mail

Required*

Today's Date / Fecha

Required* //

Facilities Reservation Section

Date Requested

Required* //

Additional Dates

Please Enter Additional Dates Below

Characters remaining:

Event Time Start

Required* :

Event Time End

Required* :

Facility Name
Required*

Please check the facilities you are wishing to reserve / Por favor, consulte las instalaciones que desea reservar*

Other Comments / Otro Comentarios

Comments / Comentarios	Please Enter Any Important Instructions or Requests Below / Ingrese cualquier instrucción o solicitud importante a continuación	Characters remaining:
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