Building and Grounds Use Form
Location Needed *
Date Needed *
MM
/
DD
/
YYYY
Time of Event *
Time
:
Time of Arrival *
Time
:
Time of Departure *
Time
:
Rooms/Areas Needed *
Required
Setup of Tables and Chairs Needed? *
Will there be food/beverage at the event? *
Will you need Multimedia? (Please note: A $25 fee will be added for this service) *
If yes, please specify needs: (PowerPoint, Sound System, etc.)
Your answer
Event Title *
Your answer
Host Organization *
Your answer
Contact Person *
Your answer
Contact Phone *
Your answer
Contact Email *
Your answer
Acknowledgement of Responsibilities and Restrictions *
• Cost: It is suggested that individuals and groups who do not attend Park Church offer a $50 donation for the use of the building. There is a charge of $25.00 for multimedia use. • Responsibilities: The individual or group using the building/grounds is responsible and liable for any damage that may occur during the use. • Restrictions: Nothing which goes against Park Church Doctrine/Philosophy is to be presented or taught. • Cancellations: On your part – We ask that you notify us at least 24 hours in advance of a cancellation. On our part – Please be aware that we may need to cancel on our end due to Park Church Ministry needs i.e. funerals, etc.
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