Epicenter Activity Request

Submit only activities that will take place in the Epicenter Building. This form goes directly to Leighanne Guthrie. Please fill out completely.

Please read the following policy in full before submitting form

EPICENTER FACILITY USE POLICY

Individuals and Groups who may use the facilities:

Epicenter youth, programs & sponsored groups

Clarksville First Church of the Nazarene members/attendees

Non-profit Groups

Guidelines for use of the building:

There is no smoking anywhere in the building or within 30 feet of the entrance doors.

Alcoholic beverages or illegal drugs are not allowed on church property.

All those using the facilities are asked to show respect for all property, and are expected to leave rooms and spaces as they were found. This includes removing all trash from the area used and placing it in the outside dumpster, returning any supplies to designated areas, cleaning up all used spaces.

Application & Fee $50.00 per event

Complete the following application and submit it to the church office. The office administrator will arrange for a Special Events Coordinator from the Epicenter to be assigned to the event. The Epicenter does not charge a fee for using the facilities, but does charge $50.00 per event for a Coordinator to be present during the event. Once the event and date has been approved, and fee has been collected, you will be contacted with the approval.

Coordinator

The Epicenter staff will maintain a list of qualified coordinators willing to serve events held at the Epicenter. There must be a coordinator at each event held at the Epicenter. The coordinator will be present at all times during the event for assistance and coordination purposes, to ensure proper use of the equipment and utilities, including sound/lighting system & concession stand and to ensure security of the facility. The coordinator is the only person allowed to use the sound/lighting system and is to be the only one running the concession stand, if needed. Coordinator will assist the group with the use of the TV's, DVD/VCR, & Gaming Systems.

Liability Insurance

Any organization using the Epicenter facilities should provide its own liability insurance against possible claims of injury or damage while on Clarksville First Church of the Nazarene property.

General Guidelines

The individual or group authorized to use the facility is responsible for the following:

All set up and tear down of the tables and chairs (if needed)

Sweeping and/or mopping spills

Cleaning counters and other equipment used

Washing Tables

Removal of all left over food and drink

Removal of all decorations & tape (no nails, tacks or tape that is likely to damage walls may be used)

Removal of all trash to the outside dumpster (located in the front parking area of Epicenter)

If Concession Stand is to be open, please keep in mind that all items are "marked for sale" and the coordinator will be responsible for collecting all monies.

I understand the above policy and procedure of facility use and agree to fulfill the necessary responsibilities described.

Request Type:

Name of group/event:

Applicant's Name:

Street Address:

City, State:

ZIP:

Home Phone:

Other Phone:

Email Address:

Date of Activity/Event:

Duration:

Day of the week it will start:

Event you would like to hold:

Area to be used:

Cafe Area:

Worship Area:

Concession Stand:

Items/Equipment to be used:

TV's:

Gaming Systems:

Microphone/Speakers:

DVD/VCR:

Projector/Screens:

Stage:

Epicenter Activity Request Agreement

I acknowledge that I have read in its entirety this "Epicenter Facility Use Policy" (above) and that I agree to abide by the terms of this document. Further, I acknowledge that Clarksville First Church of the Nazarene accepts no liability for any theft, damage, or other occurrence which may result from the use of these facilities. I accept full responsibility for any losses, damages, or other actions while on church property.

Process

After the submitted request has been cleared and poses no conflicts with already approved activities, publications of activity may begin to be circulated. We ask that you wait until your requests have cleared the church calendar to prevent any confusion or conflict.

You may contact the church office the Wednesday after you have submitted your request to find out if your request has been granted or if there is a conflict.

Keys to the facility may be checked by appointment Monday through Friday prior to the day of use. Please return keys as soon as possible after your event.

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