Building Use Request Form

Organization, church group or individuals making request

Date Requested for one time use:

Dates requested for a series of meetings/classes:

Ongoing Use for regular meetings on what day of the week:

Times for use will be from:

What activities will take place in the building during use?

Number of persons expected to participate

Name(s) of Person(s) requesting use and contact information (phone and email)

Name and contact information for person responsible during the building use:

If food and refreshments are to be served, who is the person responsible and what will be served?

Special Set up needed? (All rooms are to be returned to the set up designed in each room when finished). Please contact or provide the church office with specific set up for tables/chairs if needed.

No decorations are to be hung from the ceiling, curtains, walls, or light fixtures. Any material for the event may be affixed to the wall with painter's tape only and must be removed immediately after the event.

Person Responsible for Cleanup

· Wipe off all tables and counter tops

· Return kitchen items, dishes, silverware and serving items to their original place you found them.

· Remove all garbage and dispose in the dumpster on SE side of church.

· Make sure all sinks and drain screens are clean of food particles.

· Clean coffee pots and coffee baskets so that they are clean for the next event

· Please do not wipe up coffee spills with a dishtowel. There are floor mops in the dishwasher room to clean the floors of spills.

· Please Do not leave items in the drip-dry trays. Please put all dishes, pitchers, etc. to the original spot.

· Put laundry by the washer and someone will pick up to launder

· Vacuum/sweep floor as necessary.

· Take any leftover food with you, or store in the refrigerators or freezer.

· Leave areas of use as you found them

· Turn off all lights

Will you need a church staff member to run technology for you? Additional charges will be incurred for staff to run technology.

Yes

Lord of Life Lutheran Church reserves the right to cancel any scheduled facility use up to 48 hours in advance if these facilities are deemed necessary to carry out church related functions (for example a funeral).

The use of the facilities shall be consistent with Lord of Life’s constitution. All use shall be coordinated by and scheduled through the office manager. Facility fees will be charged as needed to cover building maintenance, cleaning, and operational services. These fees include custodial service.

Up to 25 persons

Members or Non-Profit Organizations $50

Non-Members or For - Profit Organizations $100

26-75 persons

Members or Non-Profit Organizations $75

Non-Members or For - Profit Organizations $125

76-150 persons

Members or Non-Profit Organizations $125

Non-Members or For - Profit Organizations $175

Over 150 persons

Members or Non-Profit Organizations $225

Non-Members or For - Profit Organizations $325

Linens:

1-10 used $20

10-50 $2.00 each additional

*50 Linen table cloths are available for use

Fee Schedule

Notes:

All fees include use of the fellowship hall and kitchen. Food is not allowed in the Sanctuary.
Please see the Lord of Life Wedding Booklet for special wedding fees.
Any exception to these fees must be approved by the Office Manager and or Pastor(s).

Lord of Life Church assumes no responsibility for personal injury, property loss or damage occurring during meetings or events sponsored by outside groups. Damage to the Fellowship Hall or Church Property will result in billing the user for replacement, repair, or special cleaning.

The user shall indemnify Lord of Life Church and its agents and employees against any and all claims, demands, causes of action, suits, or judgments, including expenses incurred in connection with such matters, for death or injuries to persons or for loss of or damage to property arising out of or in connection with the use and occupancy of the premises by the user and user’s agents, employees, or invitees. The user also agrees to abide by all federal, state, or local laws, ordinances and regulations.

COVENANT AGREEMENT:

The Congregation of Lord of Life Lutheran Church agrees to provide use of the facility according to the information in this request form. The group or individuals using the facility agree to be responsible for:

· Protecting the church property

· Limiting the use to the designated areas

· Limiting use to equipment requested

· Supervising children at all times

· Agreeing to pay for damage or destruction of church property

· Obtaining liability insurance when necessary

· Ensuring there is to be no smoking, drugs, or alcohol use on church property

· Leaving areas of use as you found them.

· Returning equipment/kitchen items to appropriate areas as you found them.

· Sanitizing tables and equipment used, including wiping down counters, and drying them with a dry towel to eliminate streaking.

· return dishes, silverware and serving items to their original place you found them and do not leave items in drip dry trays

· Make sure all sinks are clean of food particles.

· Turning off lights

Signature of Group's Representative

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