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Facilities Form

Read and fill out the form below
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Personal Information

Details of event / Activity

Date of request
If recurrent in different days
START - Time Request (Time for setup)
:
Event Start
:
END - Time Request (Include clean up time)
:
I will need access to the building. I don't have a Key.
Yes
No
I have access to the building Key
Yes
No

Needs

Please Mark(X) all rooms you plan to use
Equipment needed
Kitchen

Event / Activity

Agreement


The person/organization requesting the use of Church facilities absolves the church, its pastors, leadership, members, or people of any liability for personal injury to any individual resulting from the use of the church facilities and agrees to be responsible for any property damage that results during the use of the facilities. 


Please report any damage to the church office promptly. The group or individual using the facility is responsible for setting up, cleaning up, and returning to the facility's normal setup.


I have read and agree to the “Responsibilities after Building Use & Kitchen and Campus Etiquette” (see pdf above)


Facilities Form

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