DRF Facility Use Request Form

Name

First NameLast Name

Name of Group

Today's Date

Date

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Type of event being held

Estimated number of people involved

Date of Event

MonthDayYear

If multiple dates are needed, please provide that information here.

Time

Hour Minutes

AM/PM Option

Until

Hour Minutes

AM/PM Option

Total 0.0

Name of member or regular attender who will be present:

First NameLast Name

Accessing the building:

Facilities needed. (Please mark all areas you plan to use.)

Equipment Needed. (Please mark all areas you plan to use.)

The person/organization requesting the use of Church facilities hereby absolves the church, its Pastor, leadership, members, or people of any liability for personal injury to any individual resulting from the church facilities and agrees to be responsible for any property damage that results during the use of the facilities. Please report any damage to the church office promptly.

The group or individual using the facility is responsible for set up, clean up, and return to normal set up of the facility.

Signature of the firm indicates acceptance of all applicable guidelines.