Building Use Agreement

BUILDING USE AGREEMENT

Name of Person/Group ______Type of Activity ______Responsible Person ______Address ______Phone ______

Building Area(s) Date(s) Time in Time out ______

Weddings: Minister ______Note: The bride is responsible to contact the minister to make the arrangements. Placing his name on this line does not obligate him to officiate at your wedding.

1. Glenwood Church of Christ -Total Building Fee (Non-Members only) ______or 1. Glenwood Church of Christ - Utility Fees (Members only) ______

2. Glenwood Church of Christ - Damage Deposit ______Unused portion of Damage Deposit will be returned to responsible person

3. Custodial Fees /Kitchen Hostess Fees

Total for Bill Burke ______Total for Kitchen Host ______

4. Sound Technician Fee $100.00

LIABILITIES The Glenwood Church cannot be held responsible in any way for personal injury or for personal items that are lost, stolen or damaged. It is strongly advised that no valuables be left unattended and that all cars are locked. I have read and agree to all Building Use Policies for Glenwood Facilities that are applicable to the areas of the building I have reserved and the type of event I am sponsoring. I accept responsibility for enforcing these policies during the event, and I accept liability for any damages in excess of the damage deposit.

Received Key ______Received Building Use Agreement and Cleanup Check list ______

Signature: ______Date: ______

Ck. # ______Amount ______Date ______Ck. #______Amount ______Date ______

Received by: ______Deposit Returned:______