Name of Person/Group Booking Event *

First Name

Last Name

Name of Contact Person (if different from above):

First Name

Last Name

Date of Your Event *

MM

DD

YYYY

Contact Phone Number *

Mobile Number:

(###)

###

####

Type of Function *

Wedding

Funeral

Sing/Concert

Play

Community Event

Church Function

Other

How Many People will Attend? *

1-50

51-100

101-150

151-200

More than 201

Sound/Video Equipment *

Yes

No

Furniture/Kitchen Requirements *

Tables

Chairs

Refrigerators

Dishes

Stage (Pulpit Style)

Stage (Open Style)

Equipment Requirements *

Overhead Projector (Mounted)

Overhead Projector (Movable)

Podium

Microphones/Speakers

LiveStream (may require a fee)

Band *

Will you need the use of Living Hope's Band (may require a fee)

Yes

No

Demage Agreement: *

Any damage to equipment or facilities other than from normal use, shall be the responsibility of those using the facilities.

Yes, I agree to the above term.

Indemnification: *

It is an express term of this agreement that the Renter indemnifies Living Hope Word Church for any costs or damages of any kind incurred by Living Hope Word Church, as a result of the rental of Living Hope Word Church by the renter.

Yes, I agree to the above Indemnification.

Facility Agreement *

It is understood that Living Hope Word Church, LLC is in no way responsilbe for any personal injuries, property damages/loss or other liabilities that may be incurred during use of their facilities.

Yes, I agree to the above term.