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APPLICATION FOR USE OF FACILITIES
Request Only
– Application must be approved. Place contact the church for our fee structure.
FULL NAME OF APPLICANT/ORGANIZATION:
*
(Hereafter referred to as applicant)
Untitled
*
Single Use
Multi Use
Contact Person
*
First
Last
Phone
*
Email
*
Address
*
Street Address
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Date Required
*
MM slash DD slash YYYY
Start Time
*
:
Hours
Minutes
AM
PM
AM/PM
End Time
*
:
Hours
Minutes
AM
PM
AM/PM
Reason For Use
*
FACILITY REQUIRED: (please check all that apply)
*
Small Gym
Hugh Newman Room
Sanctuary
Lower Hall
Small Kitchen
Centre Kitchen
Classroom (#)
Meeting Rooms (#)
Youth Room
THE APPLICANT AGREES TO THE FOLLOWING:
*
I agree to the privacy policy.
1. NO SMOKING
2. The use of equipment, supplies and rooms of the premises is restricted to the above notes.*
3. To be fully responsible for the conduct and supervision of all persons on the premises of Essex United Church and shall ensure that all persons are supervised at all times by at least one person of at least 18 years of age.
4. In consideration of being allowed to use the facilities and equipment of Essex United Church, the applicant hereby waives, releases and forever discharges Essex United Church and its officers, agents, employees, representatives and all others from any or all responsibilities or liabilities from injuries or damages resulting from the applicant's participation in any activities, or use of equipment and facilities of Essex United Church. Essex United Church is not responsible for loss of personal property.
5. Any non-church items brought on Essex United Church premises must first be approved by the Chair of the Property Committee, or designate. Also, any locked area (i.e. storage) must be accessible (with rights to inspect) to the caretaker, minister or property chair.
6. Facilities are to be left in the same condition in which they were upon entry. Applicant must ensure that the building is secure during use and upon completion of use.
7. To pay a $50.00 deposit for each key issued. The deposit will be reimbursed upon return of the key(s).
8. The Church (Essex United) reserves the right to refuse use of a particular area, to refuse use by an unsuitable applicant(s), and to limit the times used. Failure to comply with any of the above may result in this agreement becoming null and void. Essex United Church will notify the applicant in advance (no less than a week) if any classes/meeting need to be cancelled due to use by Church groups.
9. I hereby acknowledge that I am at least the age of 18 years, and an authorized signing officer for the applicant organization.
10. This Application is valid no later than June 30th of any given year, and if required, must be renewed by that date.
11. EUC will not be responsible for property belonging to the applicant or its adherents left on the premises after 30 days of the expiry of the contract.
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