Church Facilities Use Form

  
PERSONAL CONTACT INFORMATION
Name*
Phone*
Email*
Address*
City*
Zip*
MINISTRY/ORGANIZATION
Name of Ministry/Organization*
Purpose of Use*
Maximum Number of People*
DATE & TIME
Date(s) Requested*
Time In*
Event Start Time
Time Out*
Recurring Meeting?
If Recurring, Start Date
If Recurring, End Date
BUILDING USE
Multi-Purpose Building
100 Series Class Rooms
 Main Floor 101 (capacity 400)
 Class Room 102
 Class Room 103
 Class Room 104
 Class Room 105
 Class Room 106
 Class Room 107
Number of Round Tables
Number of 8-Foot Banquet Tables
Kitchen, Room 108
 Cooking (no frying)
 Food Service
 Coffee Service
 Beverage Service (no red juice or punch)
Chapel
200 Series Rooms
 Main Chapel 201 (capacity 140)
 Chapel Class Room 203
 Chapel Class Room 204
 Chapel Class Room 205
 Chapel Class Room 206
 Nursery 207 (4 years and under)
 Chapel Class Room 209
 Chapel Class Room 211 (largest)
Equipment
Miscellaneous
 Overhead Projector
 TV/VCR/DVD
 Podium
 PowerPoint (requires operator)
 White Board
 Sound (requires technician)
 Stage
 Coffee Service
 Piano and/or Keyboard
Other
SET-UP/TEAR-DOWN CONTACT INFORMATION
Unlock/Lock-up Person*
Unlock/Lock-up Person Phone*
Clean-up Person*
Clean-up Person Phone*
Additional Comments
AGREEMENT & SIGNATURE
I understand and accept my role as “Person in Charge” for this event and will adhere to the guidelines for use of the facility. I will be responsible for and report any damage that may be incurred to the building and/or the equipment used. I release Edgewood Bible Church, Edgewood, WA from liability for loss or damage to persons and properties in or on the church property for the duration of the scheduled event, as well as for the duration of all set-up and clean-up for the event. By my signature, I and my group agree to safeguard the security of the building, and to honor the facility as a place of worship.
Typed Signature*
Date*


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