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Tabernacle Baptist Church
Facility and Equipment Use Request
Applicant Information
Contact Name
*
Organization
*
Address
*
City State Zip Code
*
Phone
*
E-Mail Address
*
Type of activity for which the facility is requested
*
Is this Organization a Non-Profit?
*
Yes
No
Equipment Rental
Date of Requested Use
*
mm/dd/yyyy
Beginning Time of Requested Use
*
Ending Time of Requested Use
*
Start of Actual Event
*
Ending of Actual Event
*
Number of Guests
*
Rooms/Areas Requested:
(Fees are charged for non-church sponsored events)
*
Worship Center
Fellowship Hall
Gym
Chapel
Meeting Room (25 People or Less)
Commercial Kitchen
Residential Kitchen/Cafe
Indoor Playground
Outdoor Pavilion
Other
Number of Chairs
*
Number of Round Tables
*
6 Foot Tables
*
Sound System?
Other (describe)
Fees are charged for non-church sponsored events. See Fee Schedule.
Statement of Agreement and Indemnification
I have read, understand, and agree to comply with all policy statements in Tabernacle's Policy Manual in the Tabernacle Properties Procedures. I agree that neither I, nor any person attending shall hold Tabernacle Baptist Church responsible or liable for any damage to person property or injury which may be incurred during the function for which this request is being submitted.
Signature
Date
mm/dd/yyyy
*
= Input is required
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