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Facility Use Agreement - Vineyard Sponsored Group
For questions or more information, please contact our Facility Coordinator at DSMVineyardFacility@gmail.com
Group / Class / Event Name
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
* 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
Start Time of Event
Please factor in time for any set up needs.
Time
:
End Time of Event
Please factor in time for clean up.
Time
:
Will this be a Recurring Event?
Required
If yes, what times do you need held for your Reoccurring Event?
Example : Every Monday at 7 PM.
Your answer
If this is a recurring event, when is the final date needed for use of space?
MM
/
DD
/
YYYY
Room Request
You may select more than one if needed.
Required
Expected Attendance
No deposit required for Vineyard Sponsored Groups; however, our Terms and Conditions* below still apply.
Furniture Needed
Additional Requests?
Your answer
I will need assistance entering and exiting the facility (Locked Doors, Security System codes)
I agree to the Terms and Conditions below for use 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 space. If you do not wish to clean, remove trash, etc., please make arrangements with the Facility Coordinator to provide such services for a 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.

If this is your first event with the Des Moines Vineyard Church we may schedule a walk-thru meeting.

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
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