FOUNTAIN HOUSE
FACILITY RENTAL APPLICATION

Full Name / Organisation Name(Required)

Contact Person (if different)

Phone Number(Required)

Email Address(Required)

Address(Required)

Event Title / Purpose(Required)

Type of Event(Required)

Proposed Date(s)(Required)

Start Time(Required)

End Time(Required)

Facility Request(Required)

Sanctuary

Fellowship Hall

Kitchen

Multimedia Equipment

Parking

Other

Expected Attendance(Required)

Event Program / Agenda(Required)

Upload Insurance Document(Required)

Max. file size: 32 MB.

Policy Number

Coverage Amount

Expiry Date

I agree to the Terms and Conditions

I confirm this event aligns with Fountain House values

Digital Signature (Type Full Name)

Date

FOUNTAIN HOUSEFACILITY RENTAL APPLICATION