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Northminster Facility Use Request Form

Northminster will review and will determine if your request will be approved in accordance with NPC's Facility Use Policy.

Basic Event Information

Room(s) Requested:(Required)
Childcare needed?(Required)
Children or Youth participating in this event?(Required)

For non-NPC groups/ organizations:

Are you covered by liability insurance?(Required)
Max. file size: 15 MB.
Is this group sponsored by a Northminster Presbyterian Church member?(Required)
For non-NPC groups/organizations: Are you covered by liability insurance?(Required)

One-Time Usage

MM slash DD slash YYYY
Start Time
:
End Time
:

Continuous Usage

MM slash DD slash YYYY
MM slash DD slash YYYY

Weekly or Monthly Usage

MM slash DD slash YYYY
Start Time
:
End Time
:

Responsible Officer or Leader

Name(Required)
Name(Required)
Consent(Required)

If children and youth are participating in the group and their parents are not present, all adults working with children must consent to NPC conducting a state and national background check. The NPC office will contact you for a list of adults with their name and email address. They will receive an email with instructions on how to complete the background check. The background check requires a fee per person and paid by the renter.

The use of the sanctuary requires the approval of the Pastor, the Facilities Committee Chair, and the Business Finance Management Committee Chair. The reserving group will be required to hire a NPC representative.

Northminster Presbyterian Church reserves the right to relocate or reschedule this activity, deemed urgent by the Session or Presbytery. Should this occur, every effort will be made to accommodate this event in another part of the building on the same day and without disruption to the above group activity. The groups using the building assume total responsibility for any claims, property damage, or personal injury resulting from the use of the building and agree to indemnify and to hold NPC harmless from any such claims.

This field is for validation purposes and should be left unchanged.