Piedmont Triad  Church Facility Use Application

Person Making Request
Which Area(s) Will Be Needed
HOUR
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AM/PM
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HOUR
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AM/PM
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Liability Statement

I, the undersigned, agree to abide by the use and maintenance policies of the Piedmont Triad Church facilities. I agree that I am responsible for any liability claims and negligence resulting from the above named activity/event, and I agree to indemnify and hold harmless the Church and any of its members, employees, directors, and officers for any attorney fees, damages, monetary, or otherwise, expenses, or other amounts paid in connection with any legal proceeding in which the church or any other such named person becomes involved by reason of this use agreement. 
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