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Event & Facility Request Form

For consideration of requests for use of The HOUSE, this form must be completed in its entirety. Events must be scheduled a minimum of 2 weeks in advance (some larger events may require longer lead times).

Your name *

Last name

Email address *

User/Renter Information

Information of the User/Renter.

Organization

List your organization's name if you are affiliated with one.

Individual/Contact Person(s)

Mobile Phone

Email Address

Do you attend The House Ministry Center on a regular basis? *

Let us know if The House Ministry Center is your home church.

Event Information

Day of the week of your event

Date requested

The date of your event you are requesting.

Secondary Date choice

In the event your requested date is not available, list your secondary choice.

Type of Event

What type of event are you planning?

Total Expected Attendance

Number of Volunteers

Requesting Use of

Select all that apply.

Sanctuary

Gym

Fellowship Hall

Kitchen

TV's

Sanctuary Projector

Sound/Mics

Other

"Other" requests

Please list "other" requests here.

Start Time of Facility Use

Include all Set Up Times

End Time of Facility Use

Include all Clean Up Times

Total Hours

Total Hours of Facility including all Set up/Clean Up hours.

Are you charging fees for any aspect of your activity?

If yes, please explain (including fee amount)

Food Information

Do you intend to serve food?

If yes, what type of food?

Do you intend to prepare food on premises?

Name of Food Provider/Caterer

*Outside Caterer may be required to provide copy of License to Cater and/or Good Handler Certificate.

**No Alcoholic Beverage Use Permitted**

Please check the box that you acknowledge this.

Facility Use Expectations

Please read before submitting. Check boxes as acknowledgement.

1. Smoking is prohibited in all areas of the facility.

Please check box that you have read and acknowledge.

2. Children accompanying adults must be supervised at all times.

Please check box that you have read and acknowledge.

3. User of facility is responsible for complete clean up and disposal of trash. All trash (including recyclables) is to be removed to outdoor receptacles.

Please check box that you have read and acknowledge.

4. All food and drink shall be confined to the meeting area/ Fellowship Hall and/or outside.

Please check box that you have read and acknowledge.

5. No food or drink shall be on the Gym Court.

Please check box that you have read and acknowledge.

6. Certificates of General Liability Insurance may be required for functions held at The HOUSE. Host group or individual will be notified upon submission of a completed facility use request form.

Please check box that you have read and acknowledge.

7. The HOUSE reserve the right to decline rental of the facility, rescind a rental contract, or require a cash deposit as prerequisite to rental.

Please check box that you have read and acknowledge.

8. The user of facility agrees to assume and be responsible for any expense(s) incurred for damages(s) to the premises or The HOUSE property resulting from use.

Please check box that you have read and acknowledge.

9. The HOUSE does not accept responsibility for loss or theft of belongings, or injury or accident to any said person on the grounds of or in the facility, and is absolved by user of all liability, which may result there of.

Please check box that you have read and acknowledge.

10. Additional attendants, i.e. parking attendants, cleaning personnel, Police/Fire supervision, etc., may be required as a condition of approval, the cost of which shall be user's responsibility.

Please check box that you have read and acknowledge.

11. Outdoor activities cease at 10:00pm as required by local zoning laws and in consideration of our neighbors.

Please check box that you have read and acknowledge.

12. Taping, mounting or displaying items on any painted surface is not allowed.

Please check box that you have read and acknowledge.

13. Any items/supplies brought into the facility or placed on The HOUSE property must be removed after the event same day. Items remaining after 24 hours may be disposed of as abandoned property.

Please check box that you have read and acknowledge.

14. For rentals: A HOUSE Staff Member will be on site and available to assist you, or your designated representative, throughout your rental time unless other arrangements have been made prior to your scheduled event.

Please check box that you have read and acknowledge.

I hereby acknowledge,

In requesting the use of The House, I hereby acknowledge that I have read and understand the above terms and conditions, that the information provided by myself is true and accurate, and that I accept full and complete responsibility for the conduct and safety of the group and any and all damages that may result as a consequence of using the facility.

Print Name

This is your electronic signature in agreement with the above terms and conditions.

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The House Ministry Center
office@thehousemc.com
(425) 334-9422

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