HPCC/HPCA Facility Usage

HPCC/HPCA Facility Usage

Current Date: ______Event Date(s): ______

Name of Group/Event: ______Group size ______

Contact Person: ______Phone: ______Cell: ______

Address: ______E-Mail Address: ______

Alternate Contact: ______Phone: ______Cell: ______

Address: ______E-Mail Address: ______

Occurrence: One-time Event Weekly Bi-weekly Monthly Other______

Day(s): Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Event Start Time: ______a.m./p.m. Event End Time: ______a.m./p.m.

______a.m./p.m. ______a.m./p.m.

Building Entry Time: ______a.m./p.m. Building Exit Time: ______a.m./p.m.

Rooms Requested:

 Sanctuary

 Kitchen/Fellowship Hall

 Downstairs Classroom

 Upstairs Classroom 1

 Upstairs Classroom 2

 Upstairs Classroom 3

 Upstairs Classroom 5

 Upstairs Classroom 7

 Upstairs Classroom 9

 Upstairs Youth Classroom

 Portable A

 Portable B

Do you need Kitchen/Fellowship Hall access?  Yes  No Will food be served? Yes  No If so, please see the Kitchen & Pantry Usage form for additional guidelines & request options.

Normal Business hours: Sunday 8:00a.m. - Noon Monday – Friday 8:30a.m. to 2:30p.m.
If building access is needed outside of business hours, please check here  to request a Staff Sponsor.

I understand that the fee to use this portion of the facility is $25 and that this can be paid by personal check made out to: HPCC. I agree to leave the building in a condition equal to or better than the state I found it in. I understand that submission of this form does not constitute approval for use of the facility.

______
SignatureDate
______
For office use only: Approval Date/Signature ______Applicant notified: ____
Deposit Rec’d $ _____ by ______Staff Sponsor Assigned ______Calendar ______

Inventory Needs

Will you decorate for the event? Yes  No If yes, what date/time? ______

How many tables are needed? # _____ rectangular

How many chairs are needed? # ______

Do you need a dry erase board? Yes  No If yes, what room? ______

Do you need an easel? Yes  No

Do you need a :

 TV/VCRIf yes, what room? ______

 TV/DVDIf yes, what room? ______

Will you be bringing in food? Yes  No If yes, please complete Kitchen & Pantry Usage form.

Will you need to use the kitchen? Yes  No If yes, please complete Kitchen & Pantry Usage form.

Tablecloths, silverware, cups and plates must be provided by your group.

Technical Support Needs

A trained HighPoint Community Church Sound Servant member is required to operate the audio/visual equipment. HighPoint Community church will contact and schedule a Sound Servant if needed. The fee for Technical Support is $50 per person for three hours. After 3 hours the rate is $10/hour per person.

Our policy does require that you use our sound board and other sound equipment unless special permission is given in advance.

Will you require technical support for a rehearsal?

Date and time of rehearsal: ______

Will there be a speaker? Yes  No

Will there be musical performers? Yes  No

Will you need the soundboard? Yes  No

How many cordless microphones will you need? ______

How many corded microphones will you need? ______

How many lapel microphones will you need? ______

How many music stands? ______

How many microphone stands? ______

Will you need special music played from CD’s? Yes  No If yes, please explain: ______

Will you have any DVD’s to be played? Yes  No If yes, please explain: ______

Do you have special lighting requests? Yes  No If yes, please explain: ______

Will you need the laptop computer for presentations such as PowerPoint? Yes  No

Other information that the Technical Support Team will need to know: ______

______
For office use only:

Technical Support Assigned:Total hours needed:Fees:

Sound: ______$______

Video: ______$______

Multimedia: ______$______

Lights: ______$______

Liability, Drug, Alcohol, & Smoking Policy

For HighPoint Community Church

It is the desire of HighPoint Community Church to provide a drug-free, healthful, and safe environment. While on HighPoint’s premises, no one may use, possess, distribute, sell or be under the influence of alcohol or illegal drugs. This policy also prohibits smoking on the HighPoint community church property.

HighPoint will not be liable for any damage or injury to any party to this contract, or any other person on the premises during the times of authorized use, or for damage to any property occurring on the premises, or any part thereof, or in the common areas thereof, unless the damage or injury was solely caused by the active and actionable negligence of HighPoint staff or persons acting on behalf of HighPoint staff. All parties to this agreement agree to hold HighPoint , its staff, officers, and members, harmless from any claims for damages arising due to personal or property damage occurring on the premises during the designated times of usage. If insurance is available to the parties to this contract, they are urged to procure insurance for the purpose of insuring their personal property. HighPoint assumes no liability or responsibility for the personal property of any individual on the premises during the times of agreed upon usage.

Non-conformance to this policy could result in the cancellation of the event, activity, or program ministry.

I hereby sign this form and I/we understand the policy set forth by HighPoint Community Church.

______

Signature of Responsible PartySignature of Responsible Party

______

DateDate

______Event/Activity

Property Use Checklist

HighPoint is blessed to have such a wonderful place to serve God and His greater good.

Please be good stewards of our valuable resource.

Report any problems such as mechanical, electrical, or a stain to the church office as soon as possible.

Cleaning supplies are in the Janitorial Closet located in the church foyer across from the Sanctuary.

Children are NOT to be left unsupervised in any area of the building. If they are not in the room with the scheduled activity, please make arrangements for childcare through our Children’s minister and reserve the room that will be used if applicable.

The First Aid Kits are located in the Fellowship Hall Kitchen above the sink, in the Infant Nursery in the cabinet, in Portable A, and in the kitchen of the Church Office.

Tasks to be completed prior to and after use of the building:

Make arrangements for entry and exit with a church staff member.

Note room arrangements prior to use and return it to the same after usage.

Wipe tables and chairs as needed.

Pick up any paper scraps from floor.

Vacuum or sweep floors as needed.

Check restrooms: wipe off counters, sinks, fixtures and pick up any trash on floor. Be sure all lights and venting fans in all restrooms are turned off. Be sure there are no running toilets, sinks or faucets in any bathrooms.

Follow the protocol as outlined in the “Kitchen & Pantry Usage” form if Fellowship Hall was used during your event. Be sure that the warmers, ovens, stoves, etc. are all turned to OFF.

Empty trash in all rooms used by your group including Restrooms, Kitchen, and Nursery and place it in the dumpster at the east end of the church parking lot. The combination for the dumpster gate is in the Fellowship Hall by the back door if needed. Extra trash bags can be found in the Janitorial Closet across from the Sanctuary. Kitchen bags are under the kitchen sink in the Fellowship Hall.

Follow the “Closing Procedures” checklist for security guidelines.