Community United Methodist Church
Friday, September 10, 2010
Community, it's more than just a name!
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Application for Use of Facilities
Facility Use Policies and Regulations
Social Hall and Kitchen Use Policies and Regulations
Non-Wedding Fees for Building Use
Name of Organization/Activity/Ministry Group:
Is this a Fundraising Event?
Yes
No
If yes, has this fundraising event been approved by the Finance Committee?
Yes
No
Event/Assembly Name:
Number of Occupants:
Date of Set-Up:
Time of Set-Up:
Start Date:
End Date:
Event Start Time:
Event End Time:
Recurring Event?
Yes
No
If this event will have a fee, do you want to offer registration on the website with payment options?
Yes
No
Frequency of requested usage:
Weekly
Monthly
Irregular/Other:
Exceptions to the recurrence by specific date:
Facilities/Spaces Requested:
Sanctuary
Social Hall
Kitchen
Conference Room
Choir Room
Chapel
Parlor/Room 123
Library/Room 122
Room 108
Room 109
Room 110
Room 111
Room 112
Room 113
Room 114
Room 116
Room 117
Room 118
Room 119
Room 120
Youth Wing
Room 205
Room 206
Room 207
Room 208
Room 209
Room 210
N/A
Sanctuary
Social Hall
Kitchen
Conference Room
Choir Room
Chapel
Parlor/Room 123
Library/Room 122
Room 108
Room 109
Room 110
Room 111
Room 112
Room 113
Room 114
Room 116
Room 117
Room 118
Room 119
Room 120
Youth Wing
Room 205
Room 206
Room 207
Room 208
Room 209
Room 210
N/A
Sanctuary
Social Hall
Kitchen
Conference Room
Choir Room
Chapel
Parlor/Room 123
Library/Room 122
Room 108
Room 109
Room 110
Room 111
Room 112
Room 113
Room 114
Room 116
Room 117
Room 118
Room 119
Room 120
Youth Wing
Room 205
Room 206
Room 207
Room 208
Room 209
Room 210
N/A
(Social Hall and Kitchen are separate spaces and must be selected separately.)
If more than 3 room/spaces are requested (fill in all spaces requested here):
Do you need a building key?
Yes
No Do you need a kitchen key?
Yes
No
Equipment to be used owned by applicant:
Equipment to be used owned by CUMC:
Do you need nursery?
Yes
No
I understand that SET UP AND TAKE DOWN OF TABLES, CHAIRS, TVS, DVD PLAYERS AND OTHER EQUIPMENT IS THE SOLE RESPONSIBILITY OF THE USER.
The use of the property is governed by the Community United Methodist Church POLICIES AND REGULATIONS FOR USE OF CHURCH AND FACILITIES and the SOCIAL HALL & KITCHEN USAGE PROCEDURES. (These are available in the church office and by clicking the link at the top of this form).
I have read the POLICIES AND REGULATIONS FOR USE OF CHURCH AND FACILITIES and the SOCIAL HALL & KITCHEN USAGE PROCEDURES.
I have read the NON-WEDDING FEES FOR BUILDING USE information.
I agree to comply with the POLICIES AND REGULATIONS, to reimburse Community United Methodist Church for any federal, state and local taxes and fees incurred as a result of this use, and ensure that this use will not violate any laws or ordinances. I FURTHER AGREE TO LEAVE THE FACILITIES/ROOMS IN A CLEAN AND ORDERLY STATE, AND IF ANY DAMAGE OR BREAKAGE OF ROOM CONTENTS OR BUILDING OCCURS, THAT I WILL NOTIFY THE CHURCH OFFICE IMMEDIATELY.
Applicant Name:
Date:
Name of responsible person:
Address of responsible person:
Telephone of responsible person:
E-Mail address of responsible person:
Alternate Contact Person:
Alternate Contact Person Phone: