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HOME GET TO KNOW FBC What to Expect What We Believe Service Times & Location FBCW Staff Ministry Groups Our Facilities Facility Guidelines Wedding Policies Facility Request Main Non-Profits Individuals/Organiz. FBC webcam Prayer Center Our Finances LISTEN ONLINE GIVE ONLINE EVENTS EMPLOYMENT CONTACT US SITEMAP Individuals/Orgs Agreement Form Individuals & Organizations Facility Request Form NAME: (*) Please add a value for Contact Name. ADDRESS: (*) Please add a value for Address. CITY: (*) must contain only a-z,A-Z characters STATE: (*) MissouriAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowakansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMissisippiMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Please add a value for State. ZIP: (*) is not a number. PHONE: (*) Please add a value for PHONE:. FAX: EMAIL: EVENT: (*) must contain only 0-9,a-z,A-Z characters NUMBER OF GUESTS: (*) must contain only 0-9,a-z,A-Z characters START DATE: (*) must contain only 0-9,a-z,A-Z characters END DATE: (*) Please add a value for . SETUP TIME: (*) must contain only 0-9,a-z,A-Z characters SETUP FINISH: (*) must contain only 0-9,a-z,A-Z characters Room(s) Requested: (*) Worship CenterApexKitchen (in Apex)WarehouseHangarClassroomGarageDrive-InStudio 54Kitchen (Children's Building)Cafe 56Indoor Playground Please add a value for Room(s) Requested:. Setup Options: (*) Theatre Chairs onlyRound tables w/chairsRound tables w/o chairsHollow SquareOne table together w/chairsTwo tables together w/chairsU-shaped with chairs Please add a value for Setup Options:. Additional setup notes: Technical Needs For Your Event BAND: DrumsBassAcoustic GuitarElectric GuitarKeyboard/PianoSynthVocalists SPEAKERS: MaleFemaleWired Mic On StandWireless Mic- Number Would you like your event recorded? AUDIO: YesNo VIDEO: YesNo Additional Technical Needs WORDS ON SCREEN: YesNo Play CD: YesNo Play DVD: YesNo Play VCR: YesNo PowerPoint: YesNo PRO-PRESENTER: YesNo IMAG: YesNo LIGHTS: Single SceneMulti Scene NOTES: Name of Person to be Contacted Regarding Technical Needs: Terms: We agree to the following Facility Use Regulations: 1. Abide by the established policies and guidelines as set forth in this packet. 2. Reimburse FBC for any damage to church property and claims of liability. 3. As applicable, provide a certificate of insurance with bodily injury and property damage limits of at least $1,000,000 and naming FBC as an additional insured. 4. 50% of estimated fees are due with the submission of this request. 5. The balance plus a $25 refundable cleaning deposit are required seven (7) days before the event or it may be removed from the calendar. Separate Checks are required. 6. Those using FBC facilities agree to release, protect, defend, indemnify and hold harmless FBC and its trustees, officers, employees, members and other representatives from and against any and all claims, liabilities, losses, damages, actions, costs and expenses (including, without limitation, reasonable attorney’s fees and other legal costs) directly or indirectly arising out of their use of any FBC facilities. I hereby agree to all terms made within this agreement. If any changes take place it is my responsibility to inform all concerned parties. (*) I agree Please indicate that you agree to the terms and conditions

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