JPC JOY HOUSE
Group Name *
Your answer
Expected Attendance *
Your answer
Type of Group *
JPC Church Group
Nonprofit
Profit
.
Person in Charge (min. age 18) *
Your answer
Member / Non Member *
Member
Non Member
.
Phone *
Your answer
Email *
Your answer
Person Responsible for key *
Your answer
Member / Non Member *
Member
Non Member
.
Phone *
Your answer
Email *
Your answer
Request for Key Form must be completed to receive key for event
Date - One Time Event
MM
/
DD
/
YYYY
(Time frame)
Your answer
Weekly Event - Day of the Week
Your answer
(Time frame)
Your answer
Monthly Event - Day of the Week
Your answer
(Time frame)
Your answer
Area of House Requested
1st Floor Living Room
Kitchen
Garage
Bedrooms
Whole House
Gazebo / Grounds
.
Equipment Requested
Your answer
Equipment Choices
Outdoor Grill
Main TV / DVD Player
.
Linen and Towel Usage will be an additional agreed upon charge and must be pre-approved
Has this organization or person been denied before? *
Yes
No
.
Are food and / or refreshments to be served? *
Yes
No
.
***Non-Smoking Campus***
Use Fee and Damage Deposit - See Facilities and Usage Fee Guidelines PDF
Deposit only returned following post usage check for damages, building cleanliness, chairs, tables, etc. returned to proper place, trash is properly disposed of in outside dumpster and key has been returned to office. Request for Property Usage will not be approved until rental and deposit checks are received.
Special Needs and Comments:
Your answer
Sign form when you pick up your key
By clicking submit, I agree to have read and understand the rules and procedures for use of the property of Jamestown Presbyterian Church and that violation of any of these rules or procedures may result in immediate expulsion from the building, loss of all deposit and fees, and prohibition from any future use of these facilities. I also understand that Jamestown Presbyterian Church is not responsible for any injuries incurred on Church grounds and property before, during, and after the use of these facilities.
RENTER RESPONSIBLE FOR ALL DAMAGES AND KEY
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