Forms Contact Form Property Use Application Contact Form Name* First Last PhoneEmail* Message* Property Use Application View Buildings, Grounds and Property use Policies Special Note:If this function is with a Non-CBT/Not For Profit group and is to be outside the regular business hours of the CBT the estimated custodial fees of $25/hour shall be paid in advance. If the function is for a Non-CBT/For-Profit group the basic fee of $30/hour for each room is to be paid in advance. Make all checks payable to the Charleston Baptist Temple. For other possible fees please refer to page 4 of the “Buildings, Grounds and Property use Policies”. Name of Organization* First Last CBT RepresentativeRepresentative Name* First Last Representative Phone*Representative Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Check appropriate boxes:* CBT Non-CBT Not For-Profit For-Profit Charge Admission Non-CBT Organization Person ResponsibleRepresentative Name* First Last Representative Phone*Representative Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code DetailsEvent and/or Purpose*Date and Time(s) Needed*Expected Attendance*AdultsYouthChildrenNursery Type of Space Desired* Sanctuary Chapel Fellowship Hall Parlor Kitchenette Library Kitchen Classroom Nursery Specify type of classrooms and number of classrooms neededEquipment DesiredHow Many*ChairsTables Public Address System Needed* Yes No Piano Needed* Yes No Organ Needed* Yes No Is a meal or meals being served?* Yes No Note number of each*BreakfastLunchDinner If catered, name caterer.If other meal provider, please name.Is a custodian needed?* Yes No The fee for general custodial use is $25 per hour. If you request a dishwasher, there may an additional charge for dishwashing services. Please call the Business Manager for fees.Please note the specific times and total time that a custodian is needed.*Don't forget opening doors to cleaning up afterward.Other equipment and services requested:Liability Release for Non-CBT Building Use(I)(We), the below named (individual) (organization), being desirous of using the Charleston Baptist Temple (hereinafter referred to as CBT) building and facility, do knowingly and without mental reservation hereby indemnify and hold harmless the CBT, and the employees and agents of CBT for any and all claims, actions, causes of action, judgments and liens arising out of any negligent act or omission by (individual) (organization) in connection with such use of CBT. Such indemnity shall include attorney’s fees and all costs and other expenses arising therefrom or incurred in connection therewith. In addition, (I) (we), do knowingly and without mental reservation hereby release CBT, and the employees and agents of CBT from any and all negligence and/or liability for death, physical injury, or loss of or damage to property in connection with the use of CBT building and facility, whether due in whole or part to negligent acts or omissions of CBT and its agents or employees.We have read and fully understand the enclosed CBT Building, Grounds and Property Use Policies, located on the previous page, and the Liability Release for Building Use governing the use of these facilities. We agree to the strict observance of these rules and regulations, and to be responsible for any damage to church property caused by our use.* Yes Name* First Last Date* MM slash DD slash YYYY Signature*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email*
