Gym Usage Agreement, College Park Baptist Church
FOR TESTING ONLY -- CONTACT CHURCH OFFICE

Please complete all sections of the following form. By submitting the form, you agreed to the Terms of Agreement set forward in the Gym Usage Policy, available at collegepark.ws/misc/gym/CollegeParkBaptistChurchGymPolicy.pdf, and the Personal Code of Conduct, available at collegepark.ws/misc/gym/CPBCPersonalCodeOfConductAgreement.pdf
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User/Group Information
User/Group Representative Name *
Email address *
Group Name *
Street Address *
City *
State *
Zip Code *
Event Information
Type of Event *
Date of event *
MM
/
DD
/
YYYY
Start time of event, including setup *
Include a minimum of 1 hour for setup and cleanup.
Time
:
End time of event, including cleanup *
Time
:
Liability Insurance Information
Do you have liability insurance coverage? *
Required
If yes, Liability Insurance Company
If yes, Policy Number
Setup Information
Specific Setup/Equipment Needs (sound system, tables, chairs, basketball goals, volleyball net, etc.)
By signing below, I understand that if I do not utilize the gym at the above date/s and time, I still have to pay the applicable fees. I also understand that in the event there is damage that is below the insurance deductible, I will be billed and held responsible for that damage in addition to what the insurance covers. *
User/Group Representative name, as electronic signature
Submit
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