Facility Agreement Form Complete the Facility Agreement Form Below Name of Sponsor*Organization*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Date of Requested Use* Date Format: MM slash DD slash YYYY Time of Requested Use* : HH MM AM PM Duration of Requested Use*Purpose of Use*Furnishing Requirements** As the listed sponsor, I fully understand the conditions for use of First Baptist Church's facility outlined in this policy. I take full responsibility for the organization/event and will leave the facilities in a completely clean and undamaged state. * I understand the $250 security deposit submitted with this form is fully refundable if the facilities are left in a clean and orderly manner (determined by the church). Also, I understand that a janitorial fee of $100 per area will be charged, and an additional $50 per hour will be charged for any event lasting longer than three hours. NameThis field is for validation purposes and should be left unchanged.