LEBANON LUTHERAN CHURCH

                                              APPLICATION / CONTRACT FOR BUILDING USE         Building Use Fee

     Date:  ____________________________

Application is hereby made for the use of church property as specified herein.

In the event permission is given to use such church property, the person or organization agrees to comply with the terms and conditions as set forth on the reverse side hereof; to compensate the church for any damage resulting from person or organizations (party) use thereof; and to save and hold harmless said church from any and all liabilities or responsibilities arising incident to the occupancy of said building, or portion thereof; it being understood and agreed that the church assumed no obligation respecting the user(s) of the premises by the person or organization (party).

1.         Event or purpose

___________________________________________________________________

2.         Date __________________________________ Time from _____________ to _________________

3.         Building and rooms

_________________________________________________________________

4.         Organization / party

________________________________________________________________

5.         Under control of (person responsible)

__________________________________________________

6.         Approximate number of people involved in activity

_______________________________________

7.         Janitor Donation _______________               Rental Donation _____________________

           Kitchen Donation ______________                 Equipment Donation _________________

           Damage / Special Cleaning Deposit ( Refundable)          __________________________

           Service Donation  _____________                  Total  Donations  __________________

           Refundable Donations: ________________

Signed (Authorized Representative) 

_________________________________________________________

Address  ______________________________________________________________________

Home Phone __________________________             Work Phone_______________________

Approved by  _____________________________

I have received a copy and agree  to follow the Standard Operating Procedures (SOP’s) for the use of kitchen space in accordance to the State of Michigan, County of Muskegon Health Department regulations.

                                                                                    _____________________________________________

                                                            LIST OF CLEANUP TASKS

1.         Garbage to be taken to the dumpster

2.         All dishes, containers and coffee urns must be cleaned.

3.         All counter tops must be clean and free of debris.

4.         Turn off dishwasher. Leave dishwasher door slightly ajar.

5.         Turn off coffeepot in front and in back of the machine.

6.         Turn off exhaust fans.

7.         Turn off all lights, including bathrooms.

8.         Return equipment to proper storage places.

9.         Take all food with you or date food so we know when we can throw it out. Identify your food

            On container so that we do not throw it out by mistake. Tape and markers are in drawer under

            The microwave.

10.       Mop and sweep any obvious spills. Utensils in walk-in pantry.

11.       Please contact Church Office in regard to linens. Please wash linens and make sure they are

            Brought back to church immediately. This is very important.

12.       Do not leave anything on the stoves ( no pots or kettles) because we have constant pilot lights.

13.       Any equipment from Church or kitchens must be checked out through the office. A $10.00

            Refundable deposit for members and non-members.

14.       No rice thrown inside or outside of church. Birdseed only outside.

15.       Lock all doors when leaving.

16.       Must provide adult supervision. Do not leave candles on tables or at any serving place because

            Children may try to use them. Candles must be extinguished and removed after use. Use candles

            Only in proper places and select these carefully.

17.       Clean can openers ( including the blades, and lid clamp ) to be free of food particles and spillage

                        EQUIPMENT USAGE BY MEMBERS AND NON-MEMBERS

Kitchen equipment available to members or by special permission to non-members:

Silver tea service

New dishes

Chafing dishes

Punch bowl