Today's Date *

MM

DD

YYYY

Name of Contact/Responsible Person *

First Name

Last Name

Phone *

(###)

###

####

Date Requesting (start date) *

MM

DD

YYYY

End Date

MM

DD

YYYY

Time to begin set up *

Hour

Minute

Second

AM PM

Time of Event *

Hour

Minute

Second

AM PM

End Time of Event *

Including clean up

Hour

Minute

Second

AM PM

Which space(s) are you requesting? *

Sanctuary

Green Room

Fellowship Hall

Multi-Purpose Room

Meeting Room

Classroom

Kitchen

Will food or beverages be served?

Yes

No

Do you need access to the kitchen? *

Yes

No

Will you need a speaker’s podium? *

Yes

No

Will you need to use the sound system? *

Note: Use of sound/video systems in sanctuary and fellowship hall requires paid, Bible Way trained technicians; it may be necessary to have more than one technician at your event.

Yes

No

Time sound technician needed?

Minimum ½ hour before event begins If a sound check is needed, please enter time of sound check

Hour

Minute

Second

AM PM

Which, if any musical instruments will be used?

Organ

Keyboard

Drums

Backline (Bass, Guitar)

Do you plan to use a video presentation? *

Note: Use of sound/video systems in sanctuary and fellowship hall requires paid, Bible Way trained technicians; it may be necessary to have more than one technician at your event.

Yes

No

I Agree to the Following *

1. I have received and read Bible Way's Facility Use Policy and agree to abide by all the conditions therein.

2. I will be responsible for the conduct of those atttending, or participating in, the activity for which this application is being made, and for any damage beyond normal wear and tear that may occur as a result of this activity.

3. I indemnify and hold Bible Way Christian Center and its administrators, agents, officers, members, volunteers or employees harmless from and against any damages, claim, or demand arising out the use of Bible Way's facilities and equipment by any person participating in, or present because of the scheduled activity.

4. I will reimburse Bible Way Christian Center for any expenses incurred defending such claim or demand.