Facility Use Request and Agreement Form

Your name *

Last name

Email address *

Phone Number

Phone type

MobileHomeWorkOther

Address

HomeWorkOther

Country

Country

Street address

Apt/unit/box (optional)

City

State

Postal code

Please state whether you are a: *

Church Member

Church-Sponsored Ministry

Non-Member

Non-Church Group

Other

Requests by Non-Members or Non-Church Groups

Please list the organization's website, if any.

Please list the names of the organization's officers and directors.

Request Details

Please check the box that corresponds with the facility you are requesting. *

Cafe/Foyer

Multi-Purpose Room

Briefly describe the purpose for which you intend to use the facilities. *

Date Requested *

Estimated length of time for facility use? *

ex: Noon-3P

Will you need to borrow tables for this event? *

Yes

No

If you answered "Yes" above please indicate how many.

min: 0 / max: 12

Will you need to borrow chairs for this event? *

Yes

No

If you answered "Yes" above please indicate how many.

min: 0 / max: 60

Affirmation

I affirm that:

I understand the Church does not allow it's facilities to be used in a way that contradict it's Statement of Faith or by persons or groups holding beliefs that contradict the Church's Statement of Faith. *

To the best of my knowledge the purpose for which I am requesting use of church facilities will not contradict the Church's Statement of Faith, and I commit to promptly disclose any potential conflict of which I am aware or become aware to Church staff. *

I am not aware of any beliefs that are professed by me or the organization I represent and which is requesting use of the church's facilities that contradict the beliefs of the Church. I agree to disclose any potential conflicts to Church staff. *

I understand that I will be responsible for any damages to the Church Facilities resulting from this proposed use of facilities. *

Submit

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