Facility Use - Fountain City Presbyterian Church

Facility Use Form

1. Use of the facilities of Fountain City Presbyterian Church should be submitted using this form to the Office Administrator and is subject to approval by the Session. Facility use is normally limited to non-profit groups, staff, and members.
2. Complete applications must include liability waiver.
3. Fountain City Presbyterian Church reserves the right to pre-empt any group for a program of the Church. Every effort will be made to give ample notice or to relocate your event to another area of the building.
4. For the duration of your event, your group is responsible for the space and equipment used. This includes clearing away debris and being financially responsible for any damage that may occur.
6. The use of alcoholic beverages, drugs, or tobacco is prohibited.
7. Large furniture, fixtures and accessories may not be moved without permission of the Church.
8. It is your responsibility to notify the Church immediately if you must cancel your event.

The following information must be completed and signed by the person responsible for the group using the building.

Person Responsible Name(Required)

Group/Organization Name(Required)

It is our intention by this application/agreement to exempt and release Fountain City Presbyterian Church from all liability whatsoever for personal injury, property damage, or wrongful death arising out of or in the course of our participation in this event at Fountain City Presbyterian Church. I have read the above and agree, on behalf of the named group, to all the terms and conditions contained herein.

Title(Required)

Signature(Required)

Please upload a current Certificate of Liability Insurance.(Required)

A completed application cannot be accepted for consideration without a current Certificate of Liability Insurance.

Max. file size: 2 MB.

Application/Agreement for Building Use

Group/Organization Name(Required)

Check all that apply:(Required)

501c3 non-profit organization? Provide tax ID#

Member

Staff

Our group has used FCPC Facilities in the past

Tax ID Number

Event Title(Required)

Event Description(Required)

Requested Date(s) and Day of the Week(Required)

+ hours prior (set up)(Required)

+ hours after (break down)(Required)

Space Requested(Required)

Number of chairs:

Number of round tables:

Number of serving tables:

A/V needs:

Number of trash receptacles:

Other:

Will food be served?(Required)

Note: You are responsible for removing all debris and basic clean up to include disposal of all trash, wiping down tables, wiping up any spills.

Yes

Caterer if applicable:

Other requests or special needs

Expected number in group(Required)

Age range of group(Required)

Person responsible name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

Phone

This field is for validation purposes and should be left unchanged.