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Facility Request Form
Tell us who you are:
First Name
Last Name
Organization Name
Email
Phone Number
Tell us about your event:
What type of event will be taking place?
Give a detailed description of what will happen at your event.
Which rooms are you requesting to use?
Worship Center
Classrooms
Theatre Room (Alcove)
When would you like to use our facility?
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
Year
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
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2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
Technology:
Will your event require technology?
Yes
No
What technology will it require?
Audio
Projection/Presentation
Lighting
Recording
NOTE: Someone will be needed to operate the equipment of Ignite Wesleyan Church and charge an operations fee of $20/hr.
We do not allow unauthorized individuals to operate our equipment
.
I understand that a trained individual from Ignite Wesleyan Church will operate all equipment.
I agree
How will the technology you requested be used? Be very specific.
Terms of Use:
The Party will only park on Church lots, unless otherwise marked for specific unrelated use. During inclement weather conditions, Church will make every attempt to keep parking lot and walkways clear.
I agree
The Party understands that the Church does not provide any parking lot security.
I agree
The Party understands that no other services are available to Party before or during the scheduled event including but not limited to photocopying, computer use, and phones.
I agree
The Party understands that any public advertisement by Party for the event MUST NOT state that the Church is affiliated with the event & or Party.
I agree
The Party understands that the Church maintains the right of entry at any time during the event to ascertain that Party and guests are acting in compliance with all rules and Terms of Use.
I agree
The Party ensures that all children and youth on Church property are safe, the Church requires that when facility use includes minors, that minors are adequately supervised at all times. It is Party’s responsibility to ensure such supervision by adults. Additionally, supervision of minors should include prohibiting minors from wandering outside of the assigned facility areas, ensuring youth safety in parking areas, and to maintain proper decorum of children appropriate for the facility in use and event.
I agree
The Party understands that all fire regulations must be observed. These regulations include but are not limited to the following: Do not exceed the maximum capacity for any location used. Do not block or otherwise impede any hallway, entryway, door or emergency exit. Do not cover any emergency exit signs.
I agree
The Party understands that the use of the included facilities are particular to the undersigned Party, the Party’s organization and invitees. This Use Agreement is not assignable nor transferable to any other individual or organization.
I agree
The Party understands that they will ONLY use the rooms they have been assigned to.
I agree
I understand completing this form does not guarantee the use of the building.
I understand
I understand that my request to use the technology at Ignite Wesleyan Church does not guarantee the use of it for my event.
I understand
Is there anything else you would like us to know about your event?
Signature
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