INSTRUCTIONS AND RESTRICTIONS FOR USE OF CHURCH BUILDING

1. All persons, groups and/or organizations must file application for use
of church facilities. The attached form should be filled out and
returned to St. Paul’s Bible Church, 1960 W. 94th St., Chicago, IL
60643 and marked to the attention of the Church Secretary at least
fourteen (14) days prior to use of facilities.

2. NO SMOKING PERMITTED ANYWHERE INSIDE THE BUILDING. This will be

strictly enforced.

3. NO ALCOHOL WILL BE ALLOWED ON CHURCH PREMISES. This also will be

strictly enforced.

4. Groups using the kitchen facilities will leave it in an orderly

condition.

(a) All dishes and silverware must be washed and put away.
(b) All sinks, ovens and gas range will be wiped clean.
(C) All counters and tables will be washed.
(d) Floors will be swept and mopped if necessary
(e) If food is being served, all leftovers must be removed from the
premises upon completion of activity.
(f) All garbage must be removed from kitchen and placed in outside
receptacles. (West end of building).

DISPOSAL AND AUTOMATIC DISHWASHER ARE TO BE USED ONLY WITH

SPECIAL PERMISSION. NO FOOD SCRAPS SHOULD GO INTO THE
DISPOSAL. ALL DISHES MUST FIRST BE SCRAPED.

5. In using the stage, we request that the utmost care be taken. The
curtains are very expensive and extremely difficult to clean. We
request that no scotch tape or sticky materials be used to fasten
items to the curtains or walls No children playing on the stage.

6. Clean up duties are to be performed by group or organization using the

facility. Replacement of chairs and tables to storage, sweeping and/or
mopping of floors, general policing of restroom areas and returning
facility to condition found are included. PLEASE NOTIFY CHURCH OFFICE
OF ANY DAMAGES INCURRED.
 FORM TO REQUEST FACILITY USE

ST. PAUL’S BIBLE CHURCH

1960 W. 94th Street
Chicago, Illinois 60643
(773) 238-4368

Date:____________

NAME OF ORGANIZATION______________________________________________________

Address __________________________________________________________________

Name person in Charge_____________________________________________________

Address___________________________________________Telephone:______________

1. If use of building is requested for one day only, specify date desired.
Date and Day of Week Hours:________________
2. If use of building is requested on regular basis, give day and time
Mon.( ) Tues.( ) Wed.( ) Thurs.( ) Fri.( ) Sat.( ) Sun.( )
Hours requested: From ____a.m. to ____a.m. Number of Persons________
From ____p.m. to ____p.m. Number of Persons________

Area Desired:_____________________________________________________________

Equipment Requested: ( ) Microphone ( ) Screen ( ) Piano

( ) Number of Chairs ( ) Number of Tables
( ) Other/Specify__________________________________

Requested Facilities to be Used For:______________________________________

The undersigned organization agrees to use all diligence in caring for the
premises and equipment, and pledges to abide by the rules of the Church a~
to no smoking policy and use of facilities as set forth in the attached
Statement of Instructions.

Signed_________________________

Approved___________________
(Yes or No)
__________________________
Pastor
__________________________
Clerk of the Consistory
_________________________
Pres. Board of Trustees
Title___________________________
Trustee, Elder, or responsible
member of St. Paul’s Bible
Church who will be in attendance.
1. __________________________
2. __________________________
name(s)

$_____________________
SUGGESTED DONATION
 APPLICABLE TO ALL GROUPS

1. One adult group leader must be designated with his/her name, home
address and phone number to be provided, along with this request form.
GROUP LEADER MUST BE ON CHURCH PREMISES AT ALL TIMES BUILDING FACILITY
IS IN USE.

2. Adult supervision and chaperons are to be provided at a ratio of one

adult to each eight (8) children or minors, and arrive prior to the
children and the hour of activity. Adults are, to remain on the
premises until all minors leave the premises.

3. Telephones may be used by the group in the event of any emergency

(i.e. accidents or injuries). Telephones are located in the office and
kitchen.

4. Scout groups are to meet in the basement scout room and use the
basement restroom facilities.

5. It will be the responsibility of the group leader to confine minors to

the assigned area. Applicant will assume responsibility for any
damages to the church property as a result of the activity.
 ST. PAUL’S BIBLE CHURCH

(Suggested contributions for building use)

A suggested gift for the Pastor (weddings)

----$200.00----for both member and non-member A suggested gift
for the organist (if our organist is asked to play)
----$75.00----for both member and non-member

Building Use
Contribution

Members or Regular Contributor No charge

Sanctuary:
Non-member $350.00
This includes the fee for janitorial clean-up

Fellowship Hall with use of kitchen $250.00

Set-up and clean-up done by user

Fireside Room with use of kitchen $150.00

Set-up and clean-up done by user

In addition, a security deposit of $100.00 will be required which will be refunded a

few days after the event. Final balance is due one week prior to the scheduled
event.

Please include all contributions in one check made payable to:

St Paul’s Bible Church

 RELEASE AND WAIVER OF LIABILITY AGREEMENT
FOR SAINT PAUL’S BIBLE CHURCH FACILITIES
IN CONSIDERATION OF BEING PERMITTED TO USE THE FACILITIES OF SAINT PAUL’S BIBLE
CHURCH FOR ANY PURPOSE INCLUDING, BUT NOT LIMITED TO, GENERAL MEETINGS OR USE
OF THE CHURCH FACILITIES OR ITS EQUIPMENT IN ANY WAY, THE UNDERSIGNED HEREBY
AGREES TO THE FOLLOWING:
1. The undersigned hereby releases, waives, discharges Saint Paul’s Bible Church or any of its
members, officers or employees from all liability to the undersigned for any loss or damage, and any
claim or demands therefore on account of injury to the person or property or resulting in the death of
the undersigned, whether caused by the negligence of the Saint Paul’s Bible Church or otherwise,
while the ‘undersigned is in, upon, about or using the facilities or equipment of the Church.
2. The undersigned hereby assumes full responsibility for risk of bodily injury, death or property
damage due to the negligence of the Saint Paul’s Bible Church or otherwise while in, upon, or about
the premises of the Saint Paul’s Bible Church for the purpose of using any facilities or equipment
therein.
3. The undersigned further expressly agrees that the foregoing RELEASE AND WAIVER
AGREEMENT is intended to be as broad and inclusive as is permitted by the law of the State of
Illinois and that if any portion thereof is held invalid, it is agreed that the remainder shall continue in
full legal force and effect.
THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THIS RELEASE AND WAIVER OF
LIABILITY AGREEMENT, and further agrees that no representations, statements, or inducements apart from
the foregoing written statement have been made.
THIS RELEASE AND WAIVER OF LIABILITY AGREEMENT SHALL BE EFFECTIVE FOR THE
PERIOD OF:_______________________________________
IN WITNESS WHEREOF, I have executed this liability release and waiver.

______________________________________________
Signature of Participant
______________________________________________
Name (Please Print)
______________________________________________
Date
‘I, the undersigned, as parent or guardian of the participant(s) listed below, hereby knowingly and voluntarily
execute this liability release and waiver with the intent of affirming and making effective all representations
made herein by the participant(s). I have fully informed myself of the contents of this liability release and
waiver and consent to the same on behalf of myself as well as in my authority as the parent or guardian of the
below-named participant(s).
Name(s) and Birth Date(s) of Each Participant:
______________________________________________
Signature of Parent or Guardian

______________________________________________
Name (Please Print)
______________________________________________
Date