Organization requesting facility use: ________________________________________________

Contact person: __________________    Phone number: ____­­_____­­__________________

Email address: ____________________________________    Date(s) needed:  ____________

Time(s) needed: ___________________________     Number of guests (approx.): ___________

List rooms/areas you plan to use: _________________________________________________

__________________________________________________________________________
Purpose of use: __________________________________________________________________________

__________________________________________________________________________

Name of FCS person who will be present:  __________________________________________________________________________

Insurance Requirement:

Certificate of insurance is required for all groups requesting use of the building. It must indicate that Faith Christian School has been added for the activity. Liability limits must be at least $1,000,000 for General Liability and $3,000,000 Aggregate Liability.

Building Fee: $ _________    Insurance Requirement       Met:  ____Yes   ____No   ____Pending
                                                                                               (Attach Certificate of Insurance)

These guidelines and fees are subject to periodic review and changes by the Faith Christian School Board.

__________________________________         __________________
         Signature of Event Supervisor                                      Date
  
__________________________________         __________________
            Administrator’s Signature                                         Date