Name of Group or Event
Day of Week Requested
Date Beginning
Date Ending
Estimated Attendance
Beginning Time (Including set up)
Ending time (including clean up)
Time of Actual Event
Description of Your Event
All events require a cleaning & reset fee - $50 for first room. $25 each additional room
Primary Contact Person
Name
Phone Number
Email Address
Special Needs: (Setup, audio, video, lighting, etc.)
I have read the facility use policies and I agree to the stated terms, conditions and policies. I understand that a 25% deposit is due at time of reservation and the additional balance is due one week prior to event. I hereby personally assume all risks in connection with such use, for any harm, injury, or damage that may befall me, my family, heirs, or anyone who attends our event, including all risks connected therewith, whether foreseen or unforeseen. I shall exempt and release Northcliffe Baptist Church, Inc. and its officers and agents from all liability whatsoever for personal injury, property damage, or wrongful death caused by negligence. I shall indemnify, defend, and hold harmless Northcliffe Baptist Church, Inc. from and against any claims, causes of action, damages, and expenses (including attorney’s fees) of any kind and nature, whether in law or equity, including but not limited to the following: claims for personal injury (including death) and property damage, asserted against, suffered or incurred by the ministry as a result of such use of Northcliffe Baptist Church, Inc. facility. My duty to indemnify Northcliffe Baptist Church, Inc. shall survive any termination of this agreement.
I agree that all uses of the facilities of Northcliffe Baptist Church, Inc. must be in harmony with the Statement of Faith of Northcliffe Baptist Church, Inc. which I acknowledge I have received a copy of and agree to adhere to.
I expressly agree that this release, waiver, and indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of Florida and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This release contains the entire agreement between the parties hereto, and the terms of this release are contractual and not a mere recital.
I further state that I have carefully read the foregoing acknowledgement and the Facility Use and Rental Policy and know the contents thereof. I sign this release as my own free act. This is a legally binding agreement that I have read and understood.
Amount Due Per Week
This contract is good for the current year ending on December 31st. All groups must sign and agree to a new contract each January. The church holds the right to update and change rates prior to new contracts being issued.
Group Name
Group Representative Digital Signature
Date
Send