Date of Intended Use* Date Format: MM slash DD slash YYYY 2nd Date Choice Date Format: MM slash DD slash YYYY Time of Use (Start)* : HH MM AM PM Time of Use (End)* : HH MM AM PM Person Making Reservation*Email Address* Phone Number (1)*Phone Number (2)Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Name of Group/Event*Number of People Attending*Type of Organization* Church Private Service Entertainment Community Other (explain) ExplanationIs this a non-profit group?If so please call our church office to discuss rentals to nonprofit groups.YesNoFEES: For groups over 50, fees will depend on the type and extent of use. For Weddings, Memorials or if you are a Nonprofit please call the church office at 619-223-3198.Facilities and Fees*(Please check the box in front of the area you wish to use) Park play lawn ($150) Park Restroom ($50) Third Choice Indoor/Outdoor Reception Area ($150)** Sanctuary ($400)** Theatre ($500)** Space set up with tables & chairs ($200)** Amphitheater ($200) Library ($125)** **(Requires Signed Use Agreement and $50 Cleaning Fee)All of the above rates are for groups < 50 people. If you have a larger group please contact the church office.ALL OF THE ABOVE FEES ARE FOR A 4 HOUR TIME PERIOD, IF SPACE IS NEEDED FOR LONGER IT WILL BE $50/hour.ParkingParking areas are not reserved, but please indicate your need:Upper LotLower LotBoth LotsReservations must be obtained from the Church Secretary in writing for all Non-Church groups and must be renewed annually for those groups using the facilities on a regular basis.SESSION APPROVAL REQUIRED FOR: Non-church organizations using the buildings or the park (if over 50 persons).FREE USE: All Westminster Church organizations.PARK RULES Fees are to be paid and agreement signed in advance of park use. Only one Astro Jump is allowed. Certificate of Liability required for Astro Jump and all vendors serving parties in the Park. Groups are to clean up, remove trash and restore order. Groups will be held responsible for any damage. Restroom use is available upon acceptance of responsibility, completion of the Restroom Use Agreement. Alcoholic beverages and smoking are not allowed in any building or outside area. Dogs are to be on a leash and under owners control at all times. Pets are not allowed in buildings. BUILDINGS RULES All areas must be left in order and clean. No one is to be allowed in the light and sound booth without the approval of the Session Elder for Vanguard Theatre. No modifications or attachments are to be made to any part of the building without the approval of the Property Management Elder. NOTE: The Session of Westminster Presbyterian Church reserves the right to refuse requests for group use or to waive part or all of the stipulated fees under conditions deemed appropriate. LIABILITY & COMPENSATION FOR DAMAGES: I take responsibility for any damages and / or injuries that my group may cause on Westminster Church premises. I understand that my group is using the park &/or buildings at its own risk and I and other members of the group will not hold Westminster liable for any injuries and damages which may occur.Date* Date Format: MM slash DD slash YYYY Electronic Signature*