Application for the use of Hanover Presbyterian Church Facilities
174 E. Main St.
P. O. Box 276
Hanover, IN
812-866-2436
Please print, fill in all information, sign, and date the application and return to the church office
Group Name:____________________________________________________
Contact Name:___________________________________________________
Contact Phone: ____________________________________________________
Mailing Address:__________________________________________________
Description of Group’s Activities and Membership:_______________________________________________________________________________________________________________________________
Name of Event:________________________________________________________
Date of Event:_________________________________________________________
Brief Description of the Event:__________________________________________________________________________________________________________________________________________________________________________________________________________
In Case of an emergency or accident the following person(s) should be notified:
_______________________________________________________________________________________________________________________________________________________________________________________________________________
Facilities Requested:
___ Sanctuary
___ Fellowship Hall
___ Kitchen
___ Parlor
___ Education Wing/Classrooms
___ Nursery
___ Other Rooms
I have read, understand and agree to all of the rules included in the attached policy, have received the safety policy, and our building use deposit and/or rental are enclosed with this application:
Printed name Signature
Date
