www.fredericksburgpc.org

Point of Contact for Event

Point of Contact Email

Point of Contact Phone Number

Describe Your Event

Room(s) Requested?

Start Date of the Event

End Date of Event

Start time:

End time:

Is this a Recurring Event?

Yes

No

If Your Event is Recurring, How Often will your Event Recurr?

Daily

Weekly

Monthly

If Your Event is Weekly or Monthly, Which days will it occur on? (Check all that Apply)

Will You Require Kitchen Use?

Yes

No

Is Food Being Served?

Yes

No

How Many People Do You Expect at This Event

Has This Group/Person Used Our Church Facilities Before?

Yes

No

Will Any Charge be Made to Those Attending This Event?

Yes

No

If Yes, explain:

Name of the Person Responsible for Locking up and Returning Keys? (Please See Above Policies for Information about Key Check-Out and Return)

The above request for use of church facilities is made with the understanding that the group agrees to abide by the Policy and Rules set forth governing the use of church property. EACH GROUP IS RESPONSIBLE FOR THE ARRANGEMENT OF THE ROOM(S) THEY USE. ROOM(S) MUST BE RESTORED TO THE ORIGINAL ORDER FOLLOWING USAGE. TRASH NEEDS TO BE TAKEN OUT. It is expected that a donation of $50 is made to cover the cost of the building usage as well as set up, tear down, and cleaning fee. This fee is expected for groups larger than 10 people (member or nonmember) and events that are not associated with a planned church function. Parking in church parking lot is limited. No alcohol or tobacco allowed on the property. Signature of person responsible: (By writing my name and Clicking "I Agree", you are certifying that you agree to the terms and conditions above and that these actions serve the same purpose as a physical signature.)

Type Your Name Here

Facility Usage Form

Useful Links

Contact info

(540) 373-7057

Office@fredericksburgpc.org

810 Princess Anne Street

Fredericksburg, VA 22401

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