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Click Here- Regulations Covering Use of Gym and Fellowship Hall

Application is Hereby Made For Use Of One Or More Of the Following (Please Select)

Chancel

Chapel

Fellowship Hall

Gym

Cafeteria Kitchen

Other

Date Of Rental (Option One)(Required)

MM slash DD slash YYYY

Actual Start Time (Option One)(Required)

Hours

Minutes

AM/PM

End Time (Option One)(Required)

Hours

Minutes

AM/PM

Purpose of

How Many People will be in attendance?

I Agree(Required)

I(We) hereby agree to abide by the rules and regulations for the use of the premises and to prevent injury or damage to the property and/or equipment. I(We) Further agree that proper order shall be. maintained, that boisterous and unruly persons shall be evicted at the request of the applicant or Church Representative.

I Agree(Required)

I (We) agree to pay toward the cost of maintenance, utilities, wear and tear to Our Redeemer Lutheran Church.

I Agree(Required)

I (We) agree to pay toward the custodial and/or kitchen supervisor fee.

Name

First Last

Member(Required)

Yes

Phone

Facility Rental

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