Please complete both pages of the form below and submit for scheduling and approval. Name:* First Last Group / OrganizationActivity / Function:Phone:* Area Code - Phone Number E-mail:*Verify E-mail:*Setup Date:Setup Start Time: : AMPMHHMMAM/PMSetup End Time: : AMPMHHMMAM/PMEvent Date:Event Start Time: : AMPMHHMMAM/PMEvent End Time: : AMPMHHMMAM/PMReoccurring EventDailyWeeklyBi-WeeklyMonthlyBeginnng on:On the _____ of every day / week / month Ending On...Reoccurring Event Time: : AMPMHHMMAM/PMCleanup Date:Cleanup Start Time: : AMPMHHMMAM/PMCleanup End Time: : AMPMHHMMAM/PMFacility Area Requested: Make Checks Payable to: Renewal Church prior to facility use. Sanctuary - $75Sanctuary Custodial Fee - $125Sound Technicians - $75Fellowship Hall - $50Fellowship Hall Custodial Fee - $75Kitchen - $100Gym - $100/2 hr rentalGym - $25 additional hrChoose Additional Rooms needed:Conference RoomLower Elemntary4-5 Grade RoomRefuge RoomPrayer RoomFoyer AreaToddler/Infant Room Comments:No Comments.Offsite Event Info*YesNoOff-Site Event Date:Off-Site Contact Name: First Last Off-Site Contact Phone: Area Code - Phone Number Off-Site Contact E-mail:Off-site Address: Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountryRental Rules and ProceduresFill out the form and submit to the Office Administrator for Calendar or Events Coordinating. Requests will then be submitted to the Elder Board for Approval.Those using the building mus stay within the designated area of use/rental.You are responsible for overall care and damage to the building.Use of Alcohol/Mind Altering Substances and Tobacco are prohibited in or on Renewal Church property.In case of Building Emergency Please contact Eric Junkin 586-413-0156 or Jim Chernenko 586-942-7055, non emergencies can be called into the church office at 586-751-0440; leave a message.A Renewal Church representative will open and close the gym. Any problems, etc... are to be reported to the on-site representative.RENEWAL CHURCH assumes no liability or responsibility in the event of injury caused while on Renewal Church property during your activity.By Signing below with my eSignature, I hereby agree to the Rule, procedures as outlined above and agree to hold Renewal Church Harmless for any liability. Agree to the above terms and conditons.*I AgreeResponsible Party eSignature*Date Submitted:*Send a copy of this message to yourself SubmitReset