Request edit access
Facility Use Agreement - Non-Vineyard Individuals, Businesses and Organizations
For questions or more information, please contact our Facility Coordinator at DSMVineyardFacility@gmail.com. You can review our Facility Guidelines and Agreement online here: http://bit.ly/1s75WcS. Thank you and we hope you have a great event!
Name, Business or Organization *
Your answer
Primary Contact Name *
Your answer
Primary Contact Phone Number *
Your answer
Primary Contact Email *
Your answer
Secondary Contact Name
Your answer
Secondary Contact Phone Number
Your answer
Secondary Contact Email
Your answer
Type of Event *
* Events that are scheduled more than six-weeks in advance (from day of event submission) are subject to change due to necessity of church-wide events.
The Vineyard Church often incorporates outside individuals and organizations at their events. Therefore, we need to work around the availability of those schedules when planning events. So, if your event is submitted more than two months out, we may need to move your event to a different area of the facility or re-schedule your event for another time. While this conflict of schedules rarely happens we do need to make you aware of it and part or our facility policy.
Date of Event *
MM
/
DD
/
YYYY
What time do you need in the facility? *
Take into consideration SET-UP time - not only the time the event starts.
Time
:
What time do you expect to be finished? *
Please factor in the CLEAN-UP time after the event. This is an estimate of when we can expect to lock the facility behind you.
Time
:
Will this be a Recurring Event? *
If yes, what times do you need held for your Recurring Event?
Example: Every Monday from 1:00PM to 4:00PM
Your answer
If this is a recurring event, when is the final date needed for use of space?
MM
/
DD
/
YYYY
Room Request *
Required
Expected Attendance *
Facility Deposit and Donation - select two below
Please select to agree to our Deposit Fee AND the appropriate Donation based on expected attendance and facility use. These deposits and donations are PER EVENT. Hiring of trained personnel will be in-addition to the donation(s) below.
Additional Needs *
Required
Additional Requests?
Your answer
I agree to the Terms and Conditions for rental of the Vineyard Church Facility *
PLEASE LEAVE THE SPACE IN THE SAME CONDITION YOU FOUND IT. This INCLUDES but is not limited to; cleaning, sweeping, discarding trash, turning off lights, and removing all personal items and decor from the rented space. DEPOSIT IS CONTINGENT ON THE RESERVED SPACE(S) NOT BEING RESTORED TO ITS ORIGINAL STATE unless prior arrangement has been made with Vineyard staff. If you do not wish to clean, remove trash, etc., please make arrangements with the Facility Coordinator to provide such services at an additional fee.
Reservation Policy
Upon receiving a space request, if the date and time are available, we will reserve the space for you and contact you with confirmation of your request. The confirmation email will come with an Facility Usage Agreement form that must be signed before the space is officially reserved.

If this is your first event with the Des Moines Vineyard, we will also schedule a walk-thru meeting.

Please note that a space is NEVER reserved until we have received a signed Facility Usage Agreement.

I agree to the use of Vineyard Church facility as listed above and commit to the values and expectations. *
Signature of Primary Contact
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms