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Application for Use of Facilities
Zion's facilities are available to members and eligible groups and organizations outside the congregation. Zion may require that organizations provide a mission statement/statement of purpose for their group so as to assure that Zion's facilities are used for purposes aligned with its' own mission. The facilities shall not be used by members for the purpose of selling for profit or personal gain. Promoting commercial activities and political fundraising is also prohibited on Zion's campus. Organizations outside of Zion who will be considered eligible to use Zion's facilities include adult and youth community service clubs or organizations and non-profit organizations.
This form must be completed at least 4 weeks prior to the expected use date. Approval of the use of the use of facilities will rest with the appropriate administrator at Zion and notification will be provided in a timely manner to the contact person.
Organization or Person
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Event Contact Person
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First
Last
Member:
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No
Yes (member name)
Email
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Phone
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Address
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Event Title
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Statement of Purpose and Description of Event
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Please include the who, what, why and when details in this description.
Who is invited to this event?
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Number of participants expected:
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Event Date
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MM
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DD
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YYYY
Set-up
MM
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DD
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YYYY
HH
:
MM
AM
PM
AM/PM
Optional
Start Time
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HH
:
MM
AM
PM
AM/PM
End Time
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HH
:
MM
AM
PM
AM/PM
Please include a description of repeats or a list of dates on which to repeat the event.
Optional
Space(s) requested for this event:
Fees for use of Zion facilities shall be established on an individual basis and will be determined by the appropriate administrator(s) assigned this task by the Church Leadership Council. All fees assigned to specific groups and events must be paid in the church or school office prior to the use.
Usage charge
$25 per event (required for all events, members and non-members)
Church Main Level:
Sanctuary (and Balcony)..... $200/ event
Chapel/ Conference Room.... $20/ hour
Pavillion and Rear Parking Lot ....$25/ hour
Welcome Center.......$30/hour
Church Lower Level:
Fellowship Hall A..... $30/ hour
Fellowship Hall B..... $30/ hour
Fellowship Hall A+B (with walls between removed)..... $50/ hour
Kitchen- Partial Usage..... $40/ event
Kitchen- Full Usage..... $75/ event
Family Life Center..... $30/ hour
Classroom/ Meeting room..... $20/ hour
Second Choice if space is unavailable:
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Facility Security
In order to keep our facilities and those using them safe, Zion has installed a key card system on our entry doors. Doors will remain locked before all events. One attendee should acquire a keycard from the church office through which initial entry to the church can be accessed. After this initial entry, the doors will remain unlocked for a scheduled period of time. Please indicate your needs below:
Name of group member who will gain initial access to building.
*
First
Last
Please designate a member of your group to acquire a key card from the church office during normal business hours. A reimbursable $25 deposit will be required. After use, please leave the key card at the Welcome Center Desk on the main level. Your deposit will be mailed to you after the key is received.
Which doors will your group be using to access the building?
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Church Main Doors (under awning)
Church Office Entry Doors
Church Lower Level Doors
What time do you and your event attendees expect to arrive?
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HH
:
MM
AM
PM
AM/PM
Door Locking Choices
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Lock doors 30 minutes after the start of our event (preferred option).
Please keep doors open throughout my event and lock them after the end of my event time.
PLEASE NOTE that if you require the doors to be open throughout the event, you agree to have someone monitor the building until the doors are locked to ensure that the building remains secure.
Additional Needs
Resources:
Projector... $10/ item
Microphone(s)... $10/ item
Key Card... $25 deposit (refundable when key is returned)
Piano usage..... $130/ event
Coffee Makers
Chairs
Tables
Podium
Check Services Requested:
Audio/ Visual Technician during event..... $20/ hour with $40 minimum
Set-up and Clean-up..... $20/hour before and following event by Zion staff with 2 hour minimum charge per event
Facility Supervision...$25/hr (Required if expected attendance is 50+ or if Zion's AV equipment is used)
Audio--Microphone for speaking only
Visual--Projectors for display only (ex: Powerpoint presentation)
Device Playback (ex: computer file or DVD presentation)
Zion prefers that organizations using the facilities complete set-up and clean-up activities. Requests may be made for Zion staff to complete these tasks, but extra costs will be assessed. If your presentation requires both audio and visual or device playback, our Audio/Visual Technician is required.
List Specific Needs
Other Options:
Feature my event on scrolling window at the top of Zion's online calandar.
Please Hide my event from public view.
Guidelines for Use of Zion's Facilities
Zion has developed the following guidelines to assist those using the facilities and to assure the safety and care of church property:
- Zion ministry activities shall take precedence when scheduling facilities.
- Rental fees must be paid in advance.
-All events must be completed by 10 PM unless special approval has been granted.
-Under no circumstances may Zion's doors may be left propped open.
- Individuals or groups using the facilities and/or equipment at Zion are responsible for damage or losses.
-A church appointed supervisor will be required by Zion for facility usage for groups of over 50.
-Individuals and groups using the facilities must restrict their use to the areas assigned to them.
-Smoking in Zion's buildings and use of alcohol on campus is prohibited.
- Adults in charge of events shall be responsible for the conduct of all attendees.
- Indoor soccer, hockey, baseball, and softball shall not be played inside Zion's facilities unless prior arrangements are made with the athletic director.
-Set-up and clean-up before and following the event shall be the responsibility of the group or organization using Zion's facilities unless prior arrangements have been made.
Contact Vickie Adams at 314-303-6652 with any questions.
Please sign your name if you have read and understand the above guidelines. Signature:
*
Clear
Please use your mouse to sign (hold your left click).
Date
MM
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Insurance:
Groups or organizations not associated directly with Zion who wish to use the facilities may be required to provide a Certificate of Insurance covering events held on the Zion campus with Zion Lutheran Church and School named as the co-insured. When insurance statements are requested by Zion, limits required shall be $1,000,000 bodily injury/ property damage/ fire legal liability. Certificates must be filed with the Church Office prior to the event if an insurance certificate is requested by Zion.
OFFICE USE ONLY
Approval of the use of the use of facilities will rest with the appropriate administrator at Zion and notification will be provided in a timely manner to the contact person.
Approval
Approved
Disapproved (reason)
Special Conditions (if appropriate):
Total Charges for Facility Use
$
Dollars
.
Cents
Payment and needed documents received in church office by:
MM
/
DD
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YYYY
Approved by:
First
Last
Date
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