Cornerstone Facilities Use Request Form v3

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This form is for requesting use of Cornerstone Congregational Church facilities for meetings and/or functions. Please fill out this form well in advance of your meeting/function to obtain approval.

**** ALL REQUESTS SHOULD BE SUBMITTED NO LESS THAN 2 WEEKS PRIOR TO THE REQUESTED FACILITIES USE DATE ****

*Requests received with short notice may not have time to be approved prior to the event date

Cornerstone Congregational Church reserves the right to refuse any request for use of the church building.

Email *

Name and phone number of requestor/responsible party and Ministry Team if applicable *

This form is for Cornerstone members and attenders or events/people we are sponsoring. Please proceed with the form if you can mark yes to either of the first two questions: *

Yes. I am a member or attender of Cornerstone.

Yes. A Cornerstone member or attender is sponsoring me.

No. We're sorry but Cornerstone facilities are not available to the general public at this time.

If a Cornerstone member or attender is sponsoring you or your event, please write their name and contact info. *

Write "NA" if it does not apply.

Title of Event *

Description of Event *

Date needed *

YYYY

Number of expected attendees (estimate) *

Start time *

Time

End time *

Time

Is the event recurring? *

Yes

If yes, what day of the week?

If Yes, when will it end

YYYY

Will childcare be offered? *

Please coordinate with the children's ministry team as needed

Yes

Please check all areas of building needed

__ Sanctuary (max occupancy 150) - no food or drinks please

__ Conference room (max occupancy 12)

__ Foyer

__ Downstairs Meeting Room (max occupancy 93)

__ Tables (6 ft - 3)

__ Tables ( 8 ft - 8)

__ Tables (4 ft - 1)

__ Parking lot (lower lot - 25 spaces, upper lot - 15 spaces,

on street - 15 spaces)

__ Sound equipment

__ Video equipment

I understand, that as the person in charge of this event, it is my responsibility to: *

Leave the space used in the same condition it was found (Please see the cleaning checklist. Cleaning supplies may be found in the kitchen and in the utility room.)

Make certain that all entrance/exit doors and windows are locked when leaving and key is returned to the lockbox

Report to the church office any breakage, injuries, incidents and/or repairs needed

Make certain that Child and Youth Protecton Policies and Laws are followed (number of chaperones for Youth/Children’s events, etc.) Policies will be provided upon request.

Required

1. A Certificate of Liability from vendors or contractors must be submitted along with this form. 2. For non-Cornerstone events a $50 deposit may be required and held for additional cleaning if needed. It will be returned if cleaning is satisfactory.

__ Deposit required __ Deposit not required

I agree with the conditions and requirements stated above. Print name below

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