Pastors R&R » Donor Application

Donor Information

Location Information

Host Property (address) *
Property Type
Dates or times of year your property is available for pastors’/ministers’ use *
Maximum number of guests permitted at one time *
Is any area of your property off limits to guests?
Select all of the following that are available at your location.
Facilities
Cooking Facilities

Jacuzzi

Swimming Pool

Washer & Dryer
Number of Bedrooms
Number of Bathrooms
Handicap Accessbile?
Total Sq Ft
Other
Local Contact Person (if any)
Name
Phone
Do you have a phone at your host property? (Leave blank if no)
Phone
How will the guests gain entry? *
Any alarm codes?
Do you desire that pastors/ministry leaders pay for their stay?
Will you allow a pastor’s/ministry leader’s guest(s) to visit or stay overnight?
Interesting things to see/do in the area
Alcoholic drinks, smoking, drugs, and all forms of adult-related material and pornography are prohibited by Pastors R&R.
Do you have any special requests?

Directions

If flying (directions from airport)
If driving
Do you carry casualty and general liability insurance for your property?
Yes
No
If yes, please provide us with a copy of your policy’s face sheet. All hosts must maintain casualty and general liabilty insurance and agree to hold harmless Pastors R&R for any and all damages caused for any reason whatsoever by guests.
Additional instructions or comments

Special Request

Please submit 2 interior and 2 exterior pictures plus an area map of your host property.
Please zip your files and upload.

Signature

By entering my name below, I hereby declare that all of the information I have provided in this application is true and accurate to the best of my knowledge.
Signature *