Name:
*
First Name
Last Name
Phone
(###)
###
####
Email
*
Please share the name of your organization, and tell us a bit about what you do:
*
Purpose of your gathering:
Date/s you wish to use the facility:
Hours you wish to use facility:
How many people will be attending your event?
Facility space(s) that you want to use:
Prayer Room - Seats up to 250, worship service space, screen, sound system
Classroom - Seats 40-50, tables & chairs, TV, whiteboards
Meeting Room - Seats 15, meeting table, couches & chairs, TV, whiteboards
Fellowship Area - Seats 50-70, serving bar, coffee machine, round table seating
Loft (upstairs) - Seats up to 80, worship space, sound system, rows of chairs, TV, couch & chairs seating area, kitchen (sink and fridge/freezer)
Any other general comments, questions, or concerns you may have:
Your name entered below constitutes your agreement to the following Liability Release.
The Facility Use policies have been read and understood by the organization or individual requesting the use of the facilities. The affixing of the signature of the authorized person indicates concurrence with these policies and procedures and the acceptance of responsibility for the organization to adherence to the policies and procedures.
As borrowers of HOME facilities, I (we) agree to protect, indemnify and hold harmless HOME from any and all loss, costs, damage or expense, arising from our use of the premises or from any accident or other occurrence on or about these premises, causing injury to any person or property and will protect, indemnify and hold harmless from any and all claims, costs or expenses arising from any failure of borrower in any respect to comply with and perform all requirements and provisions agreed to and outlined in the HOME Facility Use Policy and required by law or ordinance, during the period of occupation.
By submitting this request, I agree to the terms and conditions listed above and all policies in the HOME Facility Use Policy.
