FIRST PRESBYTERIAN CHURCH REQUEST FORM FOR USE OF CHURCH FACILITY

FIRST PRESBYTERIAN CHURCH REQUEST FORM FOR USE OF CHURCH FACILITY
Organization/Person Making Request
Address of Requestee
Phone
Date of Request

Month Day Year
Date
Organization/Person Making Request

Church Member Non-Church Member
Room(s) Requested
Date Needed

Month Day Year
Date
Starting Time

Hour Minutes

AM/PM Option
Approximate # of people
Event or purpose
By signing below, I agree that I understand and will comply with First Presbyterian Church's Facility Use Policy. In addition, I hereby hold harmless First Presbyterian Church for the loss of any personal items, waive any claims for damages and assume all risk for use of the building. I accept the responsibility of the above-mentioned keys. Replacement for lost keys will be $25.00. All keys will be returned at end of event.
Signature of person making request

Clear
Signature of Authorized FPC Staff

Clear
Signature of Session Member

Clear
Date Approved

Month Day Year
Date
For Office use Only
Cost/Fee
Due By
Paid
Received By
Outside Key Has Been Issued (Yes / No)
Inside Key Has Been Issued (Yes / No)
Facility use Cleanup Checklist

Wipe down all tables that were use. A broom & vacuum are located in the janitor's closet by the main floor bathrooms if needed
Wipe up any spills on the floors. Replace tables and chairs to their original location if moved. Place all your trash in the big trash can by the double doors. Turn off all lights in rooms that were used. Make sure that all doors that were unlocked are locked and secure. Return keys to the office.
Should be Empty:

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FIRST PRESBYTERIAN CHURCH REQUEST FORM FOR USE OF CHURCH FACILITY

For Office use Only