Funeral/Memorial Service
Saturdays are not available from 9 AM - 2:30 PM due to Memorial Village Farmers Market. This application covers building use only. There is a $75 deposit for minimal use of the kitchen made payable to FCC per Hospitality. Please request Reception Application for additional services and fees.
Deceased person's name
*
First Name
Surname
Date passed away
*
-
Month
-
Day
Year
Date
Was the deceased a member of FCC Houston?
*
Yes
No
Applicant Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Phone Number
*
Is any family or applicant a member of FCC Houston?
*
Yes
No
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Information About Your Event
Will this be a memorial or a funeral?
Memorial
Funeral
Date Requested
*
-
Month
-
Day
Year
Date
Time Requested
*
Hour Minutes
AM
PM
AM/PM Option
Alternate Date
-
Month
-
Day
Year
Date
Funeral Home (if applicable)
Funeral Home Phone Number
Please enter a valid phone number.
Number of Attendees
*
Will you have a visitation?
*
Yes
No
Will you have a reception?
*
Yes
No
Number of Guests
*
Date of Reception
*
-
Month
-
Day
Year
Date
Time of Reception
*
Hour Minutes
AM
PM
AM/PM Option
Do you plan to serve beer, wine, or champagne at your event? (no liquor allowed) If yes, a waiver of liability will need to be signed by applicant and caterer if used.
*
Yes
No
Will you be using a caterer?
*
Yes
No
Caterer Name
Caterer Phone
Please enter a valid phone number.
WAIVER AND RELEASE OF LIABILITY
I will be attending and participating in the above event on the property of First Congregational Church of Houston, 10840 Beinhorn, Houston, TX 77024 on the above date(s). I understand that I do so at my own risk. In exchange for being permitted to attend and/or participate in activities, I hereby release and waive First Congregational Church of Houston or any entities affiliated with the foregoing from liability for any and all loss, damage, injuries, claims, demands, lawsuits, expenses, and any other liability of any kind, of or to me, or any other person, directly or indirectly arising out of or in connection with my attending or participation in any activity. I further agree to hold harmless, indemnify and reimburse the released Parties from and for any sums, costs, or expenses incurred by any of the Released parties or paid by them to any person (including me or my insurers) in connection with any accident loss, damage or injury sustained by me or others in connection with my attendance at or participation in the above described activity. This means that I will reimburse the Released parties if anyone makes a claim against them based on damages or injuries I may suffer. I confirm that I am eighteen (18) years of age or older.
Signature
*
Additional Requests
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Event Location
Note: Normal hours of operations are 9 AM to 9 PM. Any requests out of this timeframe may be denied. All fees must be paid in full 24 hours before event. Saturdays are not available from 9 AM - 2:30 PM due to Memorial Village Farmers Market.
Room(s) Requested:
*
Meeting House/Sanctuary (250 guests maximum) - $1,000 for non-members, no cost for members
Assembly Room (125-150 guests standing, 100 guests with chairs for a meeting, 70 guests with 12 tables for meals) - $300 for non-members, no cost for members
Kitchen - $75 deposit with approval from Hospitality Board
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Clergy and Musician(s)
FCC Houston requires that you engage clergy and musicians who are associated with our church. Below is the list of fees for each. Payment for the following services should be made out to each individual. Please select as many as you prefer.
Service(s) requested:
*
Minister - Rev. Tony Minear
Organist/Pianist
Soloist
Additional Musicians
Sexton (setting up chairs and tables)
Sexton (taking down chairs and tables)
Audio Visual Equipment
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Facility Guidelines & Submit
Once this form has been submitted, we will be in touch via email to verify your information and ask any questions we may have and to discuss any costs associated with the memorial/funeral. It will then go into a review process before it is approved and placed on the church calendar. Submitting this form does not automatically place your event on our calendar.
Do you absolve First Congregational Church of Houston of liability for personal injury of damage to property occasioned using these facilities?
Submit
Submit
Should be Empty: