Monday, July 24, 2017
PINE HILL CONGREGATIONAL CHUR
FACILITY USAGE AGREEMENT

 

ORGANIZATION/PERSON REQUESTING USAGE:

                                                                                                              

 DATE OF ACTIVITY:                                                                            

 REQUESTED TIME TO ENTER BUILDING:                                             

 EXPECTED TIME TO VACATE BUILDING:                                              

 ROOMS TO BE USED:

                    Santuary:                             

                     Fellowship Hall:                      

           Food to be Served:        Y       N

 
 DO YOU NEED TO USE OUR SOUND SYSTEM?  ____Y   ______N

 ESTIMATED NUMBER OF PEOPLE IN ATTENDANCE:                              

 CONTACT INFORMATION: 

                   Name:                                                                      

                   Street Address:                                                        

                   City, State, Zip:                                                       

                    Phone No.:                             Email:                        

 

 FEE TO BE CHARGED:  Without Food                  With Food                    
 
 DEPOSIT REQUIRED:                                     

 

 In consideration of the use of Pine Hill Congregational Church premises and facilities, the group agrees that the church and its agents are not liable for any injuries to persons or damage to the church premises or facilities.  The group further agrees to indemnify the church for any legal expenses, settlement costs, or court judgments incurred or entered against the church because of a claim or lawsuit which arose from or during the group's use of church premises or facilities.

  I have read the guidelines for the use of the Pine Hill Cngregational Church building and grounds and pledge our group to observe the same.

 

Organizational Representative:                                                           
                                                                                                          (Signature)

Date:                                     

  Return Form to:  Pine Hill Congregational Church
                          4160 Middlebelt Road
                          West Bloomfield, MI  48323

updated July 22, 2015

PINE HILL CONGREGATIONAL CHUR
FACILITY USAGE AGREEMENT

 

ORGANIZATION/PERSON REQUESTING USAGE:

                                                                                                              

 DATE OF ACTIVITY:                                                                            

 REQUESTED TIME TO ENTER BUILDING:                                             

 EXPECTED TIME TO VACATE BUILDING:                                              

 ROOMS TO BE USED:

                    Santuary:                             

                     Fellowship Hall:                      

           Food to be Served:        Y       N

 
 DO YOU NEED TO USE OUR SOUND SYSTEM?  ____Y   ______N

 ESTIMATED NUMBER OF PEOPLE IN ATTENDANCE:                              

 CONTACT INFORMATION: 

                   Name:                                                                      

                   Street Address:                                                        

                   City, State, Zip:                                                       

                    Phone No.:                             Email:                        

 

 FEE TO BE CHARGED:  Without Food                  With Food                    
 
 DEPOSIT REQUIRED:                                     

 

 In consideration of the use of Pine Hill Congregational Church premises and facilities, the group agrees that the church and its agents are not liable for any injuries to persons or damage to the church premises or facilities.  The group further agrees to indemnify the church for any legal expenses, settlement costs, or court judgments incurred or entered against the church because of a claim or lawsuit which arose from or during the group's use of church premises or facilities.

  I have read the guidelines for the use of the Pine Hill Cngregational Church building and grounds and pledge our group to observe the same.

 

Organizational Representative:                                                           
                                                                                                          (Signature)

Date:                                     

  Return Form to:  Pine Hill Congregational Church
                          4160 Middlebelt Road
                          West Bloomfield, MI  48323

updated July 22, 2015

A Member Church of the National Association of Congregational Christian Churches  NACCC.org  cp 06/12/09

A Member Church of the National Association of Congregational Christian Churches  NACCC.org  cp 06/12/09

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