Facility Use Agreement Application

Facility Use Agreement Application
Church Facility Requested

Toledo First Seventh-day Adventist ChurchNorthwood Seventh-day Adventist Church
Facility Use Guidelines / Emergency Response Plan

Click this link to download our Facility Use Guidelines

Click this link to download our Emergency Response Plan
Requestor / Organization Information
Organization / Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Contact Name
I am a member of the Toledo First / Northwood SDA Church?

YesNo
Contact Phone Number
Please enter a valid phone number.
Contact Email
example@example.com
Start Date of Facility Usage

MonthDayYear
Date
Start Time:

Hour Minutes

AM/PM Option
End Date of Facility Usage

MonthDayYear
Date
End Time

Hour Minutes

AM/PM Option
Type of Event:

WeddingFamily EventOther
Other Type of Event Explained
Area(s) of Church Needed:

SanctuaryFellowship HallKitchen
I have read, and agreed to, the Facility Use Guidelines for the requested church

Yes
I have been provided a copy of the Church Emergency Response Plan.

Yes
Financial Information
Suggested Facility Use Donation $
See Facility Use Guideline
Refundable Cleaning Deposit $
See Facility Use Guideline
Total Donation $ + Cleaning Deposit $
Please make check payable to Toledo First SDA Church or Northwood SDA Church
Organizations: Please upload a copy of your Certificate of Insurance here:

Cancelof
Signature

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