Vineland Free Reformed Church Facilities
RENTAL APPLICATION FORM
A. Applicant
1. Date of Application (today's date)
MM
/
DD
/
YYYY
4. Email:
3. Address:
2. Full Name of Person in charge:
5. Phone Number or Cell:
B. Occasion:
2. Occasion or activity:
3. Number of Persons to be expected:
1.Date to be reserved:
MM
/
DD
/
YYYY
C. Accountability:
1. Members and non-members are required to sign a document agreeing to release VFRC, and persons working on its behalf, from liability against any and all loss, claims, damages, costs, expenses, personal injury, damage to property and any other loss or injury from any occurrence while at the leased premises.
2. Non-Members of VFRC are required to purchase a separate liability insurance policy in the amount of 3 million (CDN) dollars.
D. Usage:
1. Time of Arrival:
Time
:
2.Time of Departure
Time
:
3. What facilities are you applying for? (please check all that apply)
Thankyou. You will be contacted by our rental coordinator.
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