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Facility Rental Request Form

Start Time
Time
HoursMinutes
End Time
Time
HoursMinutes
Setup Time
Time
HoursMinutes
Cleanup Time
Time
HoursMinutes
Area Requested

Additional Services & Fees *FOR OFFICE USE ONLY*


Hourly Facility Manager Fee Required* $30

(Cleaning before/after event)


Hourly Security Fee Required* $45


Hourly Media/AV Use Fee $45

(Sound, lighting, livestream, projection. If requested or deemed necessary by Fifteenth Avenue.)


Music during event $200 per musician

(Pianist, organist, guitarist, bassist, drummer, vocalist)


Kitchen Use $200

(Use of appliances, serving area if needed separate from room rental)

Terms & Conditions

1. Deposit & Payment: A 50% deposit is required 180 days prior to reserve the space. A 75%

deposit is required 90 days prior to reserve the space. 100% of the facility usage fee is required

after the 90 day due date. The deposit is non-refundable and non-transferable (regardless of the

percentage). The remaining balance is due prior to the event.

2. Cancellations: For a refund of the remaining Facility Use Fee, cancellation must be received at

least thirty (30) business days prior to the Event Date. Deposit is forfeited upon any cancellation.

3. Use of Time: Access and event times must be within the time specified. Time used beyond the

agreed-upon schedule will result in additional charges.

4. Cleanup & Damage: User is responsible for removing all decorations and trash, and leaving the

facility in a clean, safe condition. Renter is responsible for any property damage or loss and must

reimburse the Church for repairs.

5. Prohibited Items: Alcohol, tobacco, weapons, firearms, and any other substances that will

alter/impair an individual's abilities are strictly prohibited on church property.

6. Supervision: Children must be supervised at all times.

7. Security: The Church reserves the right to require security personnel for certain events at the

Renter's expense ($45/hr).

8. Media Use: A Church media technician must operate all A V equipment ($45/hr) if requested or deemed necessary by Fifteenth Avenue.

Please Note: This request form is not a contract and does not guarantee or confirm usage of any spaces on the campus of Fifteenth Avenue Baptist Church. Upon review by the Executive Pastor, a determination will be made, official agreement drafted & sent (if applicable), and communicated accordingly

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