The Refinery | Building Usage Request

Organization / Event Responsible Party: *

Refinery Church Member/Attender?: *

Phone number *

Address *

Date Submitted: *

Date(s) and Time(s) Requested: *

Please tell us about your event... *

Facility Requested (check all applicable): *

Backfield Pavilion

Backfield Pickleball Courts

Worship Center

Foyer

Front Conference Room

Harnack Center Gym

Harnack Center "Garage"

Middle School Room

I'm not sure which space I need. Can you help me know?

Expected Attendance: *

Admission Fee? *

Equipment Needs

Table/Chairs?

If yes, please specify.

Will there be Audio/Visual Needs?

If yes, please specify.

Other?

If yes, please specify.

AV Techs

Any event requiring AV, must have a Refinery AV tech present. All Refinery supplied AV techs should be paid by the guests holding the event at the rate of $25 per hour per technician.

Building Access

Any security key pick up, drop off and training will need to take place during Refinery office hours (Monday - Thursday 9:00am - 3:30pm). Event leader is responsible for church lock up.

Cleaning

Guests will be responsible for set up, tear down and cleaning afterwards with approved cleaning items. All spaces used should be reset to how they were prior to use. (Guests may be held liable if any equipment is lost or broken.)

Food & Environment

No nails or tacks may be used on walls or furniture.
No food in the Worship Center. Water or coffee is OK. Light snacks, coffee and water are OK in the foyer.

In making this building usage request, I agree that the organization represented affirms, or is not in opposition to, The Refinery’s faith and practice. *

In making this building usage request, I have read and agree to be in compliance with the building usage policies of The Refinery Church. *

In making this building usage request, I take responsibility for the facilities and equipment used. *