Building Usage Form
Please fill out this form and click submit.
Name of Group
*
Date of Usage
*
Times Requested
*
Description of Activity
*
Building Areas Requested
*
Please select all that apply.
Sanctuary
Parish Hall
Basement Room
Chapel
Kitchen
Outside Grounds
Classroom (first floor)
Group size (approx.)
*
Contact Person
*
Phone
*
Email
*
This address will receive a confirmation email
Do you have keys to our church?
*
Please select all that apply.
Yes
No
If there is a member of our church who will be responsible for directing the proper use of the facilities, please note:
Name
Phone
Email
Do you need childcare?
Please select one option.
Yes
No
The applicant and the individual executing this application hereby waive any and all claims, demands, and causes of action which they may have against St. Christopher’s Episcopal Church, Oak Park or the Episcopal Diocese of Chicago as a result of the use of church facilities pursuant to this application. The applicant and the individuals executing this application shall indemnify and hold harmless the Episcopal Diocese of Chicago and St. Christopher’s and its officers, agents and employees from and against any and all claims, demands, causes of action, and all other loss and expense, including reasonable costs of litigation arising out of or associated with the use of church property by the applicant group and its members, guests, employees, and agents pursuant to this application.
*
Please select all that apply.
I Accept
I Do Not Accept
Electronic Signature
*
Date
*
Submit
Description
Please fill out this form and click submit.
×
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