Building Usage Request Form

Full Name and or Organization Name

for example: Birthday Party for family, Banquets, small groups, etc.

See numbered points in description above

Please note: Use of Sound, Lighting, or Musical equipment is subject to review of Tech Team for approval

Please advertise in:

Policy noted below. Please read before selecting this option.

I have read and agree to abide by and implement the rules and policies set forth in the Building Usage Policy of Crossroads Nazarene Church

Date Signed above

Our facility is cooperatively owned and shared by the members of the Crossroads Nazarene Church. The policy for management of this facility is intended to ensure orderly access: 1) the church program of ministries: 2) members of the church: 3) regular attenders (those individuals we have a record of attending 2-4 times per month for at least 6 months): 4) Christian Organizations (who are in a line with our statements of faith) and: 5) civil organizations (Fire, EMS, Police, Blood Drive, ETC.).

Booking or scheduling of the categories 1-3 above may book ad schedule one time within a 12-month period (Jan-Dec) with no charge, however, events are subject to conditions and fees. See Building Usage Fee Form for amounts and conditions.

Fees may be assessed to cover full or partial expenses of an event. See Building Usage Fee for amounts and categories

ALL EVENTS REQUIRE A BUILDING USAGE FORM FILLED OUT AND APPROVED BY THE CAMPUS CARE COMMITTEE OF THE CNC BOARD BEFORE THE EVENT IS SCHEDULED AND PLACED ON THE CHURCH CALENDAR.

When you use the building, two simple rules of thumb should guide you:

This building is a gift of God, and it represents the sacrificial giving of a lot of people. Use it joyfully for His glory, but do your best to take care of it.

When you are done using the building, remember that other will follow who also want to use it to minister to people. Leave it in great shape, like you would want to find it if you were coming in to do a ministry!

GENERAL FACILITY POLICY

NOTE: For private gatherings (non-ministry use), a security deposit of $250 will be requested one month prior to the event for the use of the building; this deposit will be returned should the building be left in the condition in which it was found.

Facility usage musts be coordinated with the church calendar and scheduled in advance with the church Office Administrator (570-524-4819) by filling out a "Building Use Request" form and may not be scheduled if the event interferes with church activities, i.e. Easter, VBS, etc. Non-wedding events will be considered for approval no sooner than three months prior to the event. Upon receipt of the completed Building Usage Request form, a tentative "hold" will be placed. Notification will follow.

Arrangements for obtaining and returning keys are made with the Office Administrator.

Members and regular attenders are asked to do set-up, take down and clean up of the area used. (See Maintenance Supervisor for instruction.) A $25 per hour fee will be assessed in the event excessive or unusual clean-up is required (after the event) on the part of the church Maintenance Supervisor.

We encourage the use of rooms as they are set up; Requested room layouts different than the standard will require caretaker fees. Rooms must be returned to the original layout (diagrams will be posted within each room.) We also encourage the use of the kitchen and no-carpeted rooms for use with events that involve food!

Use of kitchen equipment may require a review of operation by an authorized person. The church's kitchenware may be used for your event (i.e., metal silverware, serving platters, bowls); the paper products in the kitchen may be used for church / ministry events, but will need to be provided by the party hosting a non-church / ministry related event (i.e. plates, napkins, Styrofoam cups, plastic silverware).

ABSOLUTELY NO:
- No attaching of decorations to walls, tables, or furniture
- No alcoholic beverages on church property
- No smoking in the church building
- No pesticides in or around the church facility
- No food or drink in the Sanctuary or carpeted areas or on the stage in the Multi-purpose room without prior permission.
- Red, purple, lime green, orange or other "colored" drinks in the building (alternative suggestions include: lemonade, 7-up, Sprite) NOTE: Any spills should be reported to staff immediately!
- No taking church equipment from the premises for personal use (Includes all tables and chairs)
- No moving of platform, liturgical / musical furniture without permission
- No Kicking of balls in the multi-purpose room
- No DUCT TAPE on gym floor; Gaffer's tape is a usable alternative (check with church maintenance before purchasing)
- No roller-skates of skateboards
- No crafting material smaller that 1/4" on carpeted areas (i.e. glitter)
- The use of snacks with children must be supervised by an adult; snacks should be used in areas without carpeting.
- The church will not be responsible for personal property left in the building
- Tape or string can hang decorations: tape must be removed completely.
- Candles may only be used with great caution. Make sure you are protecting the flooring underneath the candles.
- We request respect for other programs using the building at the same time
- Ministry leaders must provide for adult supervision of children during an event held in the building. Rooms used for childcare must also be requested and approved before the event.
- Doors of rooms not requested (and approved for use) must remain locked
- Saturday evening events must be cleaned up, finished and out of the building by 7:00 p.m.
- When leaving the building, please follow the lock-up procedure listed below

LOCK-UP PROCEDURE

The last person in the building should be a ministry leader / person who has worked with the requested use of the building for the event. This person needs to pick up the laminated "Building Usage Checklist" which can be found at the Welcome Center. Each item on the check list needs to be "checked" and the sheet "initialed" when done. The completed and initialed checklist / clipboard should be left on the Welcome Center for the Building Maintenance Supervisor to pick up. To lock and secure the building, please follow the procedure:

Review the checklist and check each area as specified (kitchen, bathrooms, doors and lights). Note that lights in the bathroom and coat room turn off automatically; there are no switches for these lights.

All major exit doors will lock automatically with the times of your event. If additional time is needed or schedule adjustments are required, please contact office Administrative to make these adjustments. Please make sure no doors are propped open and each door is locked proper with Magnetic. If any key was given for rental, please make sure to follow directions discussed when arrangements for the key were made.

Any changes to the nature of this policy (or items not covered here) should be directed to and approved by the Business Supervisor. Please report any building problems immediately to church staff.

PLEASE INTIAL BELOW

Use Checklist

Prior to event
- Sweep floor with dust mop or vacuum.
- Pick up any dirt after sweeping and dispose. Put dust mop and dust pan back in room

During the Event
- No one is allowed to enter sound booth area without prior permission from Crossroads Nazarene Church
- No one is allowed on stage or use the piano or drums without prior permission.
- No one is allowed in areas of the building not being utilized for the event. It is the responsibility to make sure no roaming of the building occurs during the event. Especially with kids.

At the end of event
- Clean the floors if necessary.
- Remove any questionable marks on floor.
- Pick up any dirt after sweeping and dispose.
- Put all equipment away in the proper location.
- Pick up all trash.
- Check restrooms for cleaning
- All glass to entry doors are cleaned before leaving.
- Make sure entry doors to building are secure when finished
- Turn off all lights and lock all doors in building when finished!

It will NOT be the church's set up responsibility to set up the chairs after such events unless arrangements have been made prior to the event.

Bathroom Use Checklist
- Clean all urinals and stools (Use disinfectant toilet bowl cleaner)
- Wipe down and clean out sinks (Use diluted cleaner)
- Clean all mirrors and door handles (Use paper towels and glass cleaner)
- Make sure all paper towel dispensers are full in both Men's and Women's bathrooms.
- Empty trash and replace trash can liners (White trash can liners should be used in tall trash cans. Clear liners are to be used for small trash cans in the Women's stalls)
- Replace toilet paper rolls in each stall as needed. (Men's Room there should be at least one full roll in each stall. Women's restroom there should be at least 2 Full Rolls)
- Sweep floor and pick up any dirt and dispose. Return broom and dust pan to janitorial closet.
- Mop floor after weeping. (Use disinfectant and water in mop bucket. One blurb of disinfectant for one full container of water)
- Rinse mop bucket and mop after use in sink area of janitors closet. Make sure all lights are off in the bathrooms after cleaning.

PLEASE INTIAL BELOW

1. Purpose of Agreement:
The User intends to utilize the Lodge/Cafe facilities owned by the Church for the event
2. Responsibilities of the User:
- Ensure all tables are wiped clean and chairs are pushed in after use.
- Clean up all trash and dispose of it in the dumpster located to the right of the exit doors.
- Vacuum the facilities using the vacuum located in the closet to the right of the white upright freezer.
- Utilize the white refrigerator for guest use only; refrain from using the large silver fridge.
- Wash all dishes and containers used, and return them to their original location.
- Wipe off stove and countertops before leaving.
- Ensure all furniture is put back in its original arrangement.
- Bring your own coffee for use with the coffee pot; discard used coffee and filter, and keep the lid on the brewing machine when finished.
- Refrain from using paper cups, plates, silverware, or items designated for weekly use in the Cafe.
- Ensure all lights are turned off and switches are pushed down until they click.
3. Importance of Cleanliness:
It is imperative that the User maintains cleanliness and readiness of the location for the next event. Keeping the facilities clean ensures a welcoming environment for all attendees and helps to uphold the standards of the Church community.
4. Damages:
Any damages to the Lodge/Cafe facilities caused by the User or their guests shall be the responsibility of the User to repair or replace at their own expense.
5. Tampering with Surveillance Equipment:
The User acknowledges that surveillance equipment may be in use on the premises for security purposes. Any tampering with or damage to surveillance equipment by the User or their guests will result in the User being permanently banned from using the facilities.
6. Liability:
The User agrees to indemnify and hold harmless the Church from any claims, damages, or liabilities arising out of the User's use of the Lodge/Cafe facilities.
7. Duration:
This agreement is effective as of the requested dates mentioned above.
8. Termination:
Either party may terminate this agreement with written notice to the other party.

PLEASE INTIAL BELOW