1124 S. Beech
-
Phone: (503)
357-3377
BUILDING
USE APPLICATION and PERMIT
FOR
USE OF CHURCH FACILITIES
Name of
Applicant:
______________________________________________________
With what
Organization:
________________________________________________
Are you a
member of ELC? Yes No
Address:
____________________________________________________________
Phone
No.:
Home ________________ Work or Cell
___________________________
What is your
intended use of facility?
_________________________________________
________________________________________________________________________
Requested Date
or Dates:
____________________________________________
Hours:
___________(including set-up &
clean-up)
Number of
people you are expecting? _______________
A continuous
use permit must be renewed annually (once every 12 months). See fee
schedule.
What rooms are
being requested?
____ Parish
Hall without use of the Kitchen
____ Parish
Hall and Kitchen as food will be prepared and/or served
____ Conference Room or Basement Room (indicate which)
____ Narthex
Will you need
the use of our sound (microphone) system?
Yes No; Audio
Visual Equipment? Yes
No
Have you read
and signed the Use Agreement? _____ Have you read and agreed to abide by our
Building Use Policy? ______
Signature of
Applicant ___________________________________ Date _____________
Cancellation: The
Applicant shall notify the church office of cancellation at least 24 hours in
advance. The Church reserves the right to cancel this agreement at any
time.
For
Date
application Received: ________________________ Deposit Rec’d $ __________
Facility
& equipment approved by Council:
___________________________________
Personnel
required: __________________________________
Date
approved: ___________________
Approved
by:
_____________________________________(Council
designate)
Pastor:
_______________________________________
Original
to be filed in the church office; copy to council for inclusion with council
minutes
USE
AGREEMENT
Agreement made
this date between
_________________________.
I agree to
assume responsibility for the observance of church regulations and the general
conduct of the participants. I also assume liability for damages that might
occur because of negligence, and I agree to indemnify and hold harmless
EMANUEL
LUTHERAN CHURCH
APPLICANT
By_________________________________
____________________________________
Pastor or Council designate
Signature
Date
______________________
Date __________________________
General
Fee Schedule
(Fees charged
are for utilities, building
upkeep, garbage
fees etc.)
Member
Non-member
Non-Profit
Use of
Sanctuary for funerals/ weddings*
$0
Use of
Conference or Basement room
$0
$25
$25
Use of Parish
Hall without Kitchen
$25
$50
$25
Use of Parish
Hall and Kitchen
$45
$75
$45
Fees may be
adjusted for more than 50 people
(Fees
shown are for 1-4 hrs; more than 4 hrs. would be double the amount
shown.)
The Church
Council may arrange for continuous users to pay weekly, monthly, or bi-annually
based on the criteria set forth in the Building Use Policy and Fee Schedule. Any
fee(s) may be adjusted for members of ELC at the discretion of the
Council.
A
cleaning/damage deposit of $75 per event is required of all parties before
use. This is a refundable deposit if cleaning is done and no damage
found. This deposit may be rolled over each time for continuous users
if facility is cleaned by applicant and the Checklist for Cleaning is performed
as required.
*It is
customary, but not required, to offer an “honorarium” to the Pastor and organist
following a funeral service. Services of the Pastor and organist for a wedding
in the sanctuary are covered in the Wedding Handbook which has a separate
agreement.