departmentaluse – Imani Family Church

Facility Use Departments

All in one facility application form reversed 10/17/2025

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IMANI FACILITIES APPLICATION.
CHURCH DEPARTMENTS

Name*

First Last

Phone*

Email*

DEPARTMENT

Ministry

Tell us about your event

Event Description*

Requested Space*

Ebenezer Hall

Kitchen only no Stove

Kitchen with stove (Up to 3HRS)

Imani Sanctuary

Live Streaming (availability varies)

Complimentary BlueTooth and a Wireless Mic

Date of the event

Event Date*

Event Starting Time*

Event Ending Time*

Number*

NUMBER OF CHILDREN UNDER 18 YEARS

All children under 18 must be always supervised. Under no circumstances should children be left unattended. We require one adult chaperone for every ten children attending the event. Infants may remain with their parents. Based on the number of children you provided, please submit the names and contact information of individuals who will assist in supervising the children throughout the event.

Number of Children*

Names One*

Phone 1-10*

Names One*

Phone 10-20*

Names One*

Phone 20-30*

Names One*

Phone 30-40*

CLEANING POLICY:

You are required to leave our facilities in the same condition you found them. Please clean up and rearrange all tables and chairs as they were originally set up. We encourage you to take pictures of the arrangements before the event to help you reset the space afterward. Make sure that any leftover drinks are poured into the provided bucket. Please remind your guests not to dispose of liquids in the garbage, as this may cause spills during trash removal, leaving sticky marks on the hallways and stairs. Overall, please ensure that the space, including the stairs and hallways, is free from any liquids before you leave. Thank you for your cooperation!

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Agreement Section Break

Name*

agree to the term and conditions of this facility use agreement to use Imani facility to hold a departmental gathering.
This is a non-binding agreement. Please note that you may be asked to reschedule your event in the event of unforeseen circumstances.

Signature*