Creekside Church - Facility Use Request Form

Creekside Church Facility Use Request

Requestor Info

First Name

Last Name

Phone Number (Txt will be sent to this # for door code)

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Choose one that best describes you

Creekside Member

Civic/Non-Profit Organization

Non-Member/Outside Group

Please briefly state your organization's purpose and mission

Organization's Website Link

Agreement

To the best of my knowledge, the purpose for which I am requesting use of the church facilities will not contradict the church's faith or values, and I commit to promptly disclose any potential conflict for which I am aware of or become aware to the church staff.

I agree

I have reviewed and understand that upon approval of my facilities use request, fee's will be due BEFORE the event is placed on the calendar.

I agree

I understand that my use of these facilities is subject to the pastor or church council approval, which is conditioned in part on my agreement to the requirements in the "Church Facility Use Policy,"a copy of which I have read aand understood.

I agree

I understand that I will be responsible for any damage to the church facilities resulting from this proposed use of facilities.

I agree

Signature

Printed Name

Date Signed

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Creekside Church Facility Use Request

Use of Facility Information

Agreement