Funeral Rental Form
Please note that in the event of a third party legal liability action arising out of your use of the church premises, White Rock Community Church’s liability policy will not provide you with any insurance protection. In light of this, we strongly recommend that you obtain third party liability insurance in order to protect yourself in the event of a lawsuit. Please have your insurance certificate ready a week before your requested date.
Name
First Name
Last Name
E-mail
Phone Number
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Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Request:
New Usage
Change an Existing Request
Date Requested for Use:
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Month
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Day
Year
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Start Time:
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Hour
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Minutes
AM
PM
AM/PM Option
End Time:
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Hour
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Minutes
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AM/PM Option
Name of deceased:
First Name
Last Name
Name of Pastor Performing Service:
First Name
Last Name
Pastor's Church Affiliation:
Date Requested for Setup ($50 if date different than funeral date):
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Month
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Day
Year
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Start Time Requested for Setup ($50 fee if date different from funeral date)
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Hour
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10
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Minutes
AM
PM
AM/PM Option
End Time Requested for Setup ($50 fee if date different from funeral date)
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Hour
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Minutes
AM
PM
AM/PM Option
Facilities Requested:
Sanctuary
Fellowship Hall $100 per 2 hours
Sound Technician (includes multimedia) - $30/hour
A 50% deposit is due at the time of confirmation of booking.
Please select all that are required:
Sound Technician (includes multimedia) - $30/hour
Setup Date - Different from funeral date - $50
Please list any extra requirements:
With all due respect, our facility does not provide coffee & tea. We kindly ask our renters to bring their own supplies.
We will refrain from smoking and drinking alcoholic beverages while using the facility. We understand that it is our responsibility to return the room(s) we use back to the original setup before we leave.
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