Today's date: _____________________________
Name of organization: ___________________________________________________
Requested date(s) of use: _____________________________________________
Time requested: From _______________ To _________________
# of tables needed: _______ # of chairs needed: _________
** Our church is a busy place. Please do not remove tables and/or chairs before the day & time requested and approved. Please return the borrowed items within the agreed upon time frame. **
Contact person of organization:_________________________________
Mailing address: ______________________________________
Phone: _____________________ E-mail address: ____________________
Do you need a key for access to the building? _______
Additional notes or explanations, (if any): ______________________________________
_____________________________________________________________________
Tables and chairs are loaned out as available with prior permission from the Board of Trustees. Any event within the building has priority. ONLY tables marked with orange on the ends may leave the building. It is expected that you will return them promptly in clean and undamaged condition.
Please mail or e-mail this form to the Board of Trustees at the above address for their consideration. The Board of Trustees meet on the Third Tuesday of the month. Applications should be received prior to these regularly scheduled meetings.
We believe it to be a mission of this church to serve the needs of this community. Understand that tables and chairs have a finite lifespan, and replacement is costly. Contributions towards ongoing replacement are gratefully accepted.
Suggested minimum contributions:
$1 per chair
$5 per table
I have read the provisions contained in this agreement, and accept them as stated. I further understand that church functions and activities take precedence over other community uses, and that at times such church functions may preempt previously approved community uses.
Date: _______________ Representative's signature: __________________________________
Trustees: Approved:____________ Date: _____________________________
Tables and chairs taken: _____________________
Returned: ______________________
Any additional notes: _______________________________________________________