Facility Use Request Form Facility Use & Kitchen Etiquette Guidelines Name of Individual or Group Requesting Facility Use * First Name Last Name Today's Date * MM DD YYYY Address * Email * Phone * (###) ### #### Date Requested * MM DD YYYY If recurring, please list your start and end dates and any other details below. Start Time * Hour Minute Second AM PM End Time * Hour Minute Second AM PM UCC Member or Regular Attendee who will be present: * First Name Last Name Do you have access to the building? * Yes, I have a key. No, I will need access. Facilities needed (please check all rooms you plan to use): * Fellowship Hall Kitchen Library/Parlor Narthex/Office Foyer Area Classroom(s) If you selected classrooms above, how many do you need? Please explain activity to be held: * Estimated number of people attending: * The person/organization requesting the use of Church facilities hereby absolves the church, its pastors, leadership, members, or people of any liability for personal injury to any individual resulting from the use of the church facilities and agrees to be responsible for any property damage that results during the use of the facilities. Please report any damage to the church office promptly. * I understand and agree. The group or individual using the facility is responsible for set up, clean up, and return to normal set up of the facility. * I understand and agree. By signing your name in the box below, this indicates acceptance of all applicable fees and guidelines. For a detailed list of guidelines, please click the button above the form. * Thank you!
