Building & Usage Form

Small Group Building Usage (Update 6/17/21)

Outdoor Meetings continue to be an available option to gather at Grace. Please complete a building usage form to indicate outdoor grounds usage requests. Limited access to bathrooms in the building would be available for a group meeting outdoors.

Scheduling Requests

Submit building usage request form on Grace’s website (in advance)
Subject to state guidelines at the time of the event

Leader/Host of Gathering

The host of small group building usage agrees to follow CDC and IDPH guidelines in place at the time of the event.
Please leave the space the way you found it.
Host responsible for wiping down tables that were used (high contact surfaces) before & after meeting
Masks are optional by mutual consent.

General Building

Meeting rooms are limited to lower level, using the main bathrooms
No food or refreshments at this time (can bring individual water bottles)
Music rehearsal guidance noted separately

Submit Activity and Building Usage Items

GRACE LUTHERAN CHURCH
1300 Kishwaukee Valley Road Woodstock, IL 60098
Phone: 815-338-0554 Fax: 815-338-0913

_________________________________________________________________________________________________________________

In order to serve the members and guests who use the facilities of Grace Lutheran Church in the best possible way, we ask that you complete and return this form to the Church Office at least fourteen (14) days before your event. Completing this form

will also help ensure that this event will be listed on our church calendar. Thank you for

your cooperation.

–Denise Klabunde, Administrative Secretary

–Ken Zank, Building Superintendent

_________________________________________________________________________________________________________________

Name of Event, Group or Organization: *

Date(s) Requested: *

Time Requested: *

Will Grace Lutheran’s Facilities Be Used? *

If Yes, Desired Room(s): *

Number of People to Attend Event *

Describe Your Function or Activity: *

Other Equipment Requested: *

** Fees (when applicable):

Contact Person Name: *

Contact Person Email: *

Contact Person Telephone Number: *

Today’s Date: *

Do you accept the following? *

Fees for the usage of the church facilities are to be paid seven (7) working days prior to the event. Each group that uses Grace Lutheran facilities is responsible to set up, clean-up and return the room(s) according to the chart posted on the wall. Grace Lutheran will be closed at 10:00 p.m. each evening.

Do you accept the following? *

Groups requiring a fee for the use of Grace utheran’s facilities must provide Certificate of Insurance Request Form, Hold Harmless Agreement (notarized) and the Certificate of Liability from their personal insurance carrier naming Grace Lutheran Church as an additional insured prior to the planned event. You may obtain this certificate by calling the agency that has issued your homeowners and/or auto insurance and ask them to Fax, E-mail or mail a Certificate of Liability Insurance to Grace Lutheran.

Do you accept the following? *

By submitting this form, I agree that our group/organization will comply with all IDPH requirements and guidelines in effect at the time of the event.

Small Group Building Usage (Update 6/17/21)

Submit Activity and Building Usage Items

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