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Contact Us
Email:
office@perthbiblechurch.org
Phone:
518-533-0082
Address:
1863 County Hwy 107
Amsterdam, NY 12010
Office Hours:
Monday-Friday 8:00-3:30
Facilities Usage Form
Submitting this form does not guarantee use of PBC's facilties. We will contact you with the team's response. Thank you!
First Name
Last Name
Phone Number
Email
Is this for personal or group sport use?
Personal
Group Sports
Ministry of PBC
Are you a member of PBC?
Yes
No
Is this for a one-time use or re-occurring?
What dates and times are you looking to use the facility?
What is the purpose for using the facility?
Which area of the facilities would you like to use?
Gymnasium
Outdoor Pavillion
Insurance Provider Name
Insurance Policy Number
Full Name of Person/Organization Under the Insurance Policy
Signature
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