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St. Paul Lutheran Church

Maryville, TN

Building Use Request Form

Indemnification and Hold Harmless Agreement Non-Church Groups and individuals using St. Paul Lutheran Church (SPLC) property or facilities agree to indemnify and hold harmless SPLC for; 1. Any and all liability for injury or damage to persons or property arising from the use of the premises and 2. Any legal actions taken against SPLC, its officers, members or employees on account of the activities of that group or individual.

OFFICE USE ONLY - Request Approved_____ - Request Denied_____ - Rental Fee (If applicable)$_______ - Date: ___________ Signature of Church Official