Grace Church Facility Use Form – Winter 2021
Please complete all items.  Refer any questions to Pastor Mark (mbickel@gracebfc.org or 484-788-9026).  Current facility use policy available at gracebfc.org/covid
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Email *
Name of Group or Event *
Name of Responsible Person *
Phone Number for Responsible Person *
Date(s) and Times (s) Requested *
Room(s) / Group Size Requested *
Do you need access to any Technical Equipment (TV, Laptop, Projector, Screen, Sound ...) *
If yes to technical needs, please describe
Any other needs your groups has, or special circumstances we should know about
Have you received and read and do you agree to all rules in our most recent “Use of Church Facilities During Covid” Document? *
Do you agree to share the health questions and facility use rules with all members of your group ahead of time, and to enforce all the rules while in our facilities? *
Understanding that any group meeting during this time has some risk of Covid-19 exposure, as well as other dangers associated with any group meeting, does your group agree to hold Grace Bible Fellowship Church harmless for injury, covid-exposure, or death? *
Responsible Person's Signature (typing your name is the same as signing) *
A copy of your responses will be emailed to the address you provided.
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