Facility Use Application - Emmett Nazarene Church

Your name *

Email address *

Name of Organization *

Contact person(s) (if different)

Phone number *

Type of Function and Purpose for event (include brief description of what is expected to happen) *

What type of space do you need?

Event/Meeting Date(s) *

Times Needed (Include set up) *

From
To

Will this be an on-going or one time event?

Ongoing

One Time

Do you need the use of the kitchen for preparing or serving food? *

Yes

Number of persons participating?

If you know what rooms that you are requesting, please indicate below

Sanctuary (Capacity: Chairs only -500) Basic Rental Fee $250 for the first 2 hours and $50 per hour after.

Gym/Big City Auditorium (Capacity: Chairs only - 150; Tables/chairs -100). Basic Rental Fee $150 for the first 2 hours and $30 per hour after.

Aubrey Hall (Capacity: Chairs only -100; Tables/chairs- 75). Basic Rental Fee $125 for the first 2 hours and $30 for each hour

Classrooms (Capacity: 3 connected rooms). Basic Rental Fee $50 for the first 2 hours and $10 per hour after.

Classroom. Basic Rental Fee $30 for the first 2 hours and $5 per hour after.

Kitchen. Basic Rental fee $50.

Sound equipment and operator. Fee $50

Media equipment and operator. Fee $50.

Other

Information about Organization:

Is your organization registered as a non-profit? *

Yes

Does the organization have insurance? *

Note: A certificate of Insurance showing Emmett Nazarene as an additional insured will need to be on record at the church office within 14 days of requested day of use. If not, a Hold Harmless form will need to be signed.

Yes

There will be a refundable damage/cleaning deposit of $250 due when rental is approved. Use of the kitchen requires an orientation meeting with a church representative. Do you agree? *

Yes

Do you agree to the following terms and conditions? *

1. Church Use: The church programs and functions shall have priority over all the other uses of the church facility.
2. Certificate of Insurance: The user shall provide a certificate of insurance naming Emmett Church of the Nazarene as additional insured prior to the use of the facility. (If you are unable to provide a Certificate of Insurance, please sign the 2nd Hold Harmless Agreement below.)
3. Applications must be submitted at least two (2) weeks in advance.
4. Charges: Advance payment for any rental charges and a cleaning/damage deposit may be required. Cleaning/Damage deposits may be refundable at the discretion of the Church Trusties or their representative.
5. Use of Kitchen: If the kitchen is to be used for the preparation or service of food, a representative of the organization must meet with our Reception Coordinator or her representative.
6. Adult Supervision: Lack of proper adult supervision may subject a group to loss of use of the facilities.
7. Clean up: The users are responsible to clean up the area they have used.
8. No illicit drug use, drinking or smoking on church grounds.

Statement of Needs:

Information about Organization: