Forms - Building Usage Form - Broadway Christian Church

You must have a point of contact (staff member) before it goes on the calendar. Who is your P.O.C.?*

Please Note:

The campus is closed on Friday and Saturday.

There are no facilities personnel on campus after 6pm.

Any event in which you are serving food must be approved before it will be scheduled on the calendar.

We reserve the right to move your group to a different location in the building as needed.

Leader Name*

First Last

Phone*

Email*

Does this event have a Co-Leader?

Yes

Co-Leader Name

First Last

Co-Leader Phone

Co-Leader Email

Event Info

Building/Room Needed:

Building 1 (Main Church)

Sanctuary
Conference Room
West Lobby Classroom
South Lobby Classroom
2nd Level Classroom
Living Room
Midway Classroom

Building 2 (Family Life Center)

Stage
Kitchen - sign off required (equipment)
Gym
Lounge
Garage

Name of Event*

Date of Event*

Campus is closed on Friday and Saturday

Time*

:

Ending Time of Event*

:

Recurring Event (start date)

Recurring Event (end date)

Please Select for Recurring events

How many participants?

List of Volunteer Positions:

Volunteer Name List:

Is this event free or does it cost to attend?

Free
This is a paid event

How much does this event cost to attend?

Is registration required for this event?

Yes
No

*Registrations are offered online only.

What is the registration deadline?

What supplies are needed for your event/class?

Requested temperature

IF you have any special needs or instructions, please comment below:

Event Requirements

Did you contact Production Team? (Sound, Lights, Computer)
Did you discuss your budget with the bookkeeper?

Waiver of Responsibility & Liability Release Form

This document must be signed by all participants and on file prior to first participation. The undersigned, his/her heirs, executors, administrators, guardians, and/or parent(s) assigns on behalf of himself/herself, individually, and on release, waive, absolve, indemnify, agree to hold harmless, and discharge Broadway Christian Church and its agents, employees, representatives, successors and assigns, from any and all liability for claims, demands, actions, judgments, and executors which may arise from any injury, loss, or damage resulting from the use by the undersigned or his/her family of outdoor facilities, indoor facilities, the grounds, their equipment and apparatus, owned and maintained by said Broadway Christian Church located at 7335 E Broadway Road, Mesa, Arizona 85208 or resulting from attendance at any and all campus and off campus events or sponsored activities. The consideration to the undersigned, for the execution of this release of liability, is the permission to him/her, and their minor children, by Broadway Christian Church to use the above stated facilities, grounds, equipment, and apparatus, according to the guidelines of the event or activity. In signing this agreement, I acknowledge and represent that I have read the foregoing Waiver of Liability and Hold Harmless Agreement, understand it, and sign it voluntarily of my own free act and deed; no oral representations, statements, or inducements apart from the foregoing written agreement, have been made. I am at least eighteen (18) years of age and fully competent; and I execute this Agreement for myself and/or for my child under the age of eighteen (18) for full, adequate and complete consideration fully intending to be bound by the same.

Age*

Date*

Signature*

Parent/Guardian Name

First Last

(Under 18 or 18 and still in high school, requires the signature of the Parent/Guardian)

Parent/Guardian Signature

Comments

This field is for validation purposes and should be left unchanged.