St. James Rental Request Form

First Name

Last Name

Organization Name

Email

Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Name & Phone Number of Primary Contact (if different than above)

Organization's Website

Organization's Purpose

Event Name

Event Purpose

Are you or a member of your organization a member of St. James?

Yes

No

Is your group a non-profit corporation?

Yes

No

Estimated Attendance

Date(s) of Event

The Church may deny the application, at its sole discretion, due to incompatibility of, including, but not limited to the following:

Scheduling
Potential risks of injury to persons and property
Activities are inconsistent with the Church’s mission or messaging
The mission of the applicant organization is inconsistent with the Church’s
mission or messaging
incompatibility with physical facilities
Subjecting the Church to potential tax liability

By signing below, the applicant attests that he or she has read the Church’s Facilities Use
By External Groups Policy and acknowledges the items below as follows:

This application does not create a contract
The Church campus is private property and is not a place of public accommodation

Signature

Printed Name

Date Signed