BUILDING USE APPLICATION For Persons or Groups Outside of the Church

Date of Event:
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Today's Date:

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Time you will need to enter the building:
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Person Making Request:
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Phone #:
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Email:
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Company or Group Represented:
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Indicate intended usage (i.e. concert, recreation, etc.,):
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Approximate number of persons involved:
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Requested equipment use:
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Requested rooms/Kitchen equipment (check all that apply):

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*If kitchen is to be used, use of a Kitchen Coordinator is required.
^Separate check to be made out to individual providing service.
**Basic Service Fees

The insurance company covering this event is:
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and the policy number is:
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(An insurance certificate in the amount of $1 million naming the Bend Church of the Nazarene as additionally insured must be received by the church office prior to the event.)

Deposit fee of 50% is required upon building use approval by the church staff. You will be notified by the church office. Full payment is due before event. In case of cancellation, deposit will be refunded if the church office is notified two weeks prior to use.

Enter the security code(*)
Enter the security code
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