Borrowing Form

Borrowing Form
Contact Name*

First NameLast Name
Contact Phone Number*

Area CodePhone Number
Email*
example@example.com
Organization
Number of Chairs needed
Number of Tables needed
Other (Please specify)
Date of Pickup*

MonthDayYear
Date
Time of Pickup*

:HourMinutesAM/PM Option
Date of Return*

MonthDayYear
Date
Time of Return*

:HourMinutesAM/PM Option
Responsibilities and Cost
- Cost: It is suggested that individuals and groups who do not attend Park Church offer a donation for the use of the items. If items are not returned in the same condition or are not returned, the responsible party must replace the item.
- Responsibilities: The individual filling out this form is the responsible party for the use of the items and will be responsible to cover any cost incurred.
Check the box below to accept.*

I agree to the Responsibilities and Cost
Should be Empty: