Request for Use of Church Facilities
Please fill out this form and click submit.
Name of Organization or Individual
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Address
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Phone
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Email
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This address will receive a confirmation email
Contact Person
Contact Person's Phone Number
Room(s) Requested
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Please select all that apply.
Fellowship Hall $150
Kitchen ($75)
Parlor ($25)
Sunday School Room ($25)
Library ($25)
Sanctuary ($200)
Date(s) of Event:
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Time:
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Approximate Number of People Involved:
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For what purpose will you use the facilities?
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Will you be serving food?
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If yes, will it be catered or prepared in the Church kitchen?
I have read the policy statement on the Use of Facilities form and agree to comply with it. I and/or the organization I represent, hold Jefferson United Methodist Church harmless of any and all claims. I/we assume responsibility for any and all damages. I/we will CLEAN and VACCUUM the facilities and will return them to an “as found” condition. I/we will REMOVE ALL TRASH from church premises. Please type your signature below if you agree to this statement.
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Any individual, group, or organization using the church facilities will be expected to abide by the following regulations pertaining to use of church facilities. 1. Alcoholic beverages are prohibited on the church premises. 2. The use of tobacco in any form is prohibited inside the church building. 3. Use, if granted by The Trustees, is for a single date specific occasion as specified on the “Request for Use of Church Facilities.” 4. Eligible organizations desiring frequent regular use of facilities, if approved by the Trustees, may enter into a long-term agreement, but all authorizations for use will expire on December 31 of each year. 5. Use of building is restricted to the area requested and approved. 6. No church furnishings or equipment is to be loaned or removed for use outside the church. 7. Satisfactory arrangements for entry to the building, turning on the heating/cooling mechanisms and lighting prior to use and terminating them at the conclusion of use must be made with a responsible individual in the user organization or with a church trustee at the time the “Request for use of Church Facilities” is submitted. 8. Help by Church staff or church members beyond that implied in number 7 above should not be expected in assisting in or setting up for the scheduled activity (Please do not call the Pastor. Ensure that you understand how the equipment is operated before your scheduled event. The secretary will be glad to let you in to look around and familiarize yourself with needed equipment). 9. Payment is to be made within 10 days following the day of use unless other arrangements are agreed upon prior to the approval of the “Request for use of Church Facilities.” 10. The “Request for use of Church Facilities” must be submitted to the church secretary no less than (3) weeks prior to requested date of use. The signature on the application of the person authorized to act for the requesting organization indicates a genuine intent to comply with the above policy as well as with expressed or implied regulations on the “Request for use of Church Facilities” form. Failure to comply may result in denial of future use. 11. All trash must be removed from the church premises. 12. A $50.00 cleaning deposit must be made. (It will be refunded in full, if facilities are left in as-found condition.) Please initial below, that you have read the use of facilities requirements.
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