Building and Grounds Use Agreement Please enable JavaScript in your browser to complete this form.Date Name of OrganizationOrganization's PurposeNon-Profit Status (if applicable)Federal ID No.Insurance CarrierResponsible PersonAddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneEmail *Event Name and DescriptionDate(s) Requested**Dates can only be scheduled more than 6 months out by special permission.Start TimeEnd TimeEvent Recurrence:One time onlyWeeklyMonthlyMultiple daysWhich day(s) of the week?MondayTuesdayWednesdayThursdayFridaySaturdaySundayRoom(s) Requested:SanctuaryCommonsKitchenClassroom 3Classroom 4Classroom 5Classroom 6Nursery (by special arrangement only)Anticipated number of participants:Will participants be charged a fee?YesNoWill food, drink, or alcohol be served?YesNoSpecial needs or requests (piano, sound system, other)Set Up InstructionsI have:Read the Release and Indemnity Agreement and and consent to it.Read the Building Use Guidelines.Provided a Certificate of Liability Insurance.Name *FirstLastEmailSubmit
Olympia
Olympia