Building Use Request Form

Please fill out this form and click submit.

Event/Group Contact person

Event/Group Contact person 2

Event/Group Contact person 3

Phone

This address will receive a confirmation email

Event

Date of Event

Please choose doors used for event

Please select all that apply.

East Fellowship West Fellowship Playground Office Trophy Family Life Center Sanctuary Door

Start time of event

End time of event

Time doors need opened

Time doors need closed

Is this a recurring event?

Please select one option.

Yes, recurring No, one-time

If recurring, how often?

Please choose

Please select all that apply.

For-profit event Non-profit event

Services required (with fee)

Please select all that apply.

Kitchen Audio Janitor clean-up Donation Charge Coffee

Facility rental fee should be remitted within ten (10) days of use.

Make checks payable to: St. John Lutheran Church, 1100 N. Main Street, Celina, OH 45822

Not adhering to the Building Use Contract or the rules and regulations of St. John Lutheran Church may result in removal from the calendar. Please refer back to your Building Use Contract or contact the St. John office for any questions or concerns.

Additional details

Please inform the church office if there is a change in schedule or cancellation.

HOLD HARMLESS AGREEMENT:

I/We agree to indemnify and HOLD HARMLESS St. John Lutheran Church and their agents and employees from all liability, claims, demands, or costs, for or arising out of event(s). Whether it be caused by the negligence of indemnitor or St. John Lutheran Church or either party’s agents or employee, or otherwise.

Digital signature

Date

Description

Please fill out this form and click submit.

Building Use Request Form

Description

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