Property Use Agreement and Release Form Step 1 of 4 25% Applicant InformationApplicant Type(Required)IndividualNon-Profit OrganizationFor-Profit Organization Applicant DetailsApplicant Name(Required) First Last Applicant Organization Name(Required)Applicant E-Mail(Required) Applicant Phone(Required)Applicant Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Applicant Website Purpose of organization(Required)Contact InformationPlease provide the primary contact for the group using the building, if not the same as above.Contact same as applicant? Same as above Contact Name First Last Contact Email Contact PhoneContact Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Event InformationType of Event(Required) Meeting Lecture Banquet Performance Other Frequency of Event(Required) One time Weekly Monthly Other Day of MonthDay of WeekSundayMondayTuesdayWednesdayThursdayFridaySaturdayDate MM slash DD slash YYYY Time(Required) Hours : Minutes AM PM AM/PM Number of Hours(Required)Facility NeedsSpace Requested(Required) Sanctuary Fellowship Hall Fellowship Hall w/ kitchen Lounge Classroom(s) Other Food Service Food will be served (kitchen required) Food will be served (kitchen not required) Alcohol will be served Check all that apply.Seating Style “U” Style Theater Style Classroom Style Banquet Style Other Setup(Required) HTLC to set up Applicant to set up # of Attendees# of Tables# of Chairs# of Food TablesOther Equipment NeedsDescribe any other equipment needs. Note that some equipment requirements may incur additional charges. Projection Screen Television Overhead Projector Video Projector Lectern and Microphone Flipchart(s) and Markers Wireless Internet (WiFi) Wired Internet Other special needs or comments Property Use Agreement and Release FormNOW, THEREFORE, in consideration of permitting the organization or individual(s) to use the property described herein, the organization or individual(s) agree(s) as follows: Organization or individual(s) hereby indemnify, hold harmless, release, and discharge the congregation and its administrator, directors, agents, officers, members, volunteers, and/or employees, from any and all liability. I/We agree to be responsible for the conduct of those coming to or participating in the activity for which this application is being made, and for any damage beyond normal wear and tear which may occur as a result of this activity. I/We will remove all signs posted by my/our group after the meeting has ended. I/We further agree that the church property will be used in accordance with the Facility Use Guidelines of the congregation and I/We hereby consent to the Release and Indemnity Agreement.Agreement and release(Required) I agree to the terms outlined aboveSigned by(Required) First Last Title
