What type of activity: Type a label Name of Organization: Type a label Are you a member of Fifth Avenue Christian Church? Yes No
Checklist—Responsibilities of Person/Organization Reserving Facility: Dates Scheduled can be canceled by priority of FACC activity Yes User is responsible for the cost or replacement of any damage to the property or furnishings YesCleanup and vacating facility must be completed by designated time Yes No tobacco, alcohol, drugs or pets are to be on church property YesCapacity of 75-100 individual persons at one time Yes
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I acknowledge that I have read the responsibilities and expectations in reserving the building and am responsible for seeing that they are carried out. I also release FACC from liability arising from improper use of the building. I am aware and understand that Fifth Avenue Christian Church reserves the right to refuse this application for any reason or to change or cancel approved reservations based on the needs of FACC as a first priority. Signature Date