ALL REQUESTS NEED TO BE SUBMITTED 30 DAYS BEFORE THE EVENT AND ALLOW 7 DAYS FOR PROCESSING ALL FIELDS ARE REQUIRED Event Description: Date(s) of Event: Back Up Date (in case of conflict): Times: Setup: to Event Time: to Cleanup: to Name of Person/Organization Requesting Use of Facilities: Contact Person: Phone Number: Email: What Rooms are You Requesting: Number of People Expected: Equipment Needed: Will Food Be Served?YESNO Will You Need Kitchen Access?YESNO Cost Recovery Fees Below is an estimate of fees for facility use. This time frame for the total event (including setup and clean up). Additional fees for support personnel may apply depending on your event. Fees will be finalized on confirmation of event. 4 hour 6 hour 8 hour Member or Regular Attender Non-member or Non-Attender Member or Regular Attender Non-member or Non-Attender Member or Regular Attender Non-member or Non-Attender Family Life Center $100.00 $150.00 $120.00 $200.00 $160.00 $250.00 Gymnasium $100.00 $150.00 $120.00 $200.00 $160.00 $250.00 Banquet Room $40.00 $60.00 $60.00 $120.00 $80.00 $160.00 Classroom $40.00 $60.00 $60.00 $120.00 $80.00 $160.00 Lobby $60.00 $130.00 $90.00 $150.00 $120.00 $200.00 I understand the following guidelines: • No tobacco or alcohol on church property. • When your event is over, please leave the premises within ½ hr. after event, but no later than 9:00 PM. • Children are not to be left unsupervised in the building, should not be climbing on the furniture and should only be in the room/area where the event is being held, especially during set up and clean up. • Church equipment, such as tables and chairs, must be returned to original placement. • All lights must be turned off and doors closed upon departure. • All trash must be taken to the dumpster at the rear of the building. Room should be left in the same shape it was found. • I understand that there may be a fee for facility usage, I will be informed of any fees upon approval of my request to use the facility, I will need to provide any fee before the event. • I understand that I will be responsible for any damages to the church facilities resulting from this proposed use of facilities. • I understand that church ministries/functions take priority over outside events and may be asked adjust times, rooms and etc. Notice will be given for any conflicts ASAP. • All events must comply with the official statements of the Wesleyan Church. There are security cameras in use for the protection of the church. By signing this agreement, you are stating that you will comply with these guidelines. Failure to comply may prevent you from being able to use the facility in the future. I accept the following guidelines above. Please Check I ACCEPT Click to request to use the facility.