Building Usage Form

Name of Organization, Group, Family, or Individual(Required)

Type of Event(Required)

Date of Event(Required)

Time of Event (start and end time - including clean-up)(Required)

Set Up Time (when access to the building is needed)(Required)

Specific Room Required (if known)(Required)

Recurring Event?(Required)

Yes

If the event is recurring, please provide the beginning month and the ending month.

Will food/drink be served?(Required)

Yes

Will you require use of the Church Kitchen?(Required)

Yes

Additional Comments about Food / Drink Served

Estimated number of people expected at event:(Required)

Do you charge a fee for the event? (If so, please enter fee below as well.)(Required)

Do you require room set up? (If so, additional fees apply.)(Required)

Yes

If set up is required, please use the space below to provide us with the following information:

1. Do you only need chairs only? If so, how many?
2. Do you need tables and chairs? If so, how many?
3. Please specify and arrangement and/or share additional comments below.

Sound Technician(Required)

Required if using multimedia/sound system. This person must be approved by Technical Team. Additional fees apply.

Yes (If yes, please complete A/V Usage Form.)

Contact Info

This person will be present at the event to assure compliance with Facilities Usage Policy (copy of usage policy will be provided).

Contact Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone / Cell Phone(Required)

Email(Required)

Terms & Conditions

1. Use of the building is not exclusive. Other individuals and groups may be using the building at the same time. Everyone must show respect for other individuals and groups using the building at the same time. Individuals and groups are expected to honor their time schedule. Failure to do so may be grounds for denying future use of the building.
2. Facilities must be left in the same condition as found or better.
3. Special procedures and policies for specific rooms (i.e. Family Life Center) are to be adhered to in conjunction with this agreement.
4. Willful violation of any guidelines or regulations could lead to the loss of eligibility to use the facility.

Electronic Signature(Required)

The signature below verifies that the person has read and understands the policies for the use of the Vancouver Church of Christ facility.

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Submission Source

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Submission Medium

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Submission Campaign

Building Usage Form

Contact Info

Terms & Conditions

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