TCPC Building Use Request
Three Chopt Presbyterian Church,
9315 Three Chopt Road, Richmond VA 23229

804-270-5452 hello@threechoptchurch.org

Email address *
Name of Organization *
Your answer
Type of Organization *
Non-profit, Sectarian, Governmental, TCPC Group
Your answer
Requester Name(s) *
Your answer
Organization or Requester Address *
Your answer
Contact Phone Number *
Your answer
Contact Email *
Your answer
What is your event? Why did you select our church site? Has your group met at TCPC previously? *
Briefly describe your event:
Your answer
Where have you previously held this event? *
Your answer
What is the expected attendance? *
Please provide the number of Adults expected; then the number of children expected
Your answer
What is the start date and time of the event? *
MM
/
DD
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YYYY
Time
:
What is the end date and time of the event? *
MM
/
DD
/
YYYY
Time
:
Do you need additional setup & cleanup time? *
How much pre-event time; how much post-event time?
Your answer
List any other equipment needed. *
Your answer
What kind of space do you need? *
Meeting Room, Kitchen, Breakout Room
Your answer
Do you have Liability Insurance? *
TCPC requires you to have liability insurance with a $1 million limit
If "yes", you do have $1 million liability insurance, please provide the Insurance Company *
Your answer
If "yes", you do have $1 million liability insurance, please provide the policy number and coverage period *
Your answer
Provide the Names, Addresses and Contacts of those responsible should there be any post-event questions or expenses concerning cleanup, damage to equipment, the facility or other. *
Name(s) of those responsible -- if you, just note "same as above."
Your answer
*
Address
Your answer
*
Phone Number
Your answer
*
Email
Your answer
A copy of your responses will be emailed to the address you provided.
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