Facility Use Request

PEOPLE’S UNITED METHODIST CHURCH FACILITY USE REQUEST FORM

If you desire to use a room or rooms at People’s UMC for an event, please fill out the form below. Submitting this form does not guarantee your use of the facility, you must await approval from the church office to be assured that a room/rooms have been reserved for you. If you have questions or concerns, please contact the church office at (608) 835-3755.

I/We, the undersigned, have read the People’s United Methodist Church Facilities Manual, and agree to abide by all the rules and regulations regarding this building.

I/We agree to the Compliance and Facilities Rules with respect to any repairs and/or insurance issues that could be applicable while at this facility.

I/We will abide by the Usage Rules and, if applicable, the Kitchen Checklist as outlined in the manual when using the church and its facilities.

I/We agree to submit any applicable fees prior to use of this facility as outlined in the Room Use Fees section of the manual.

Name of individual requesting use:	Today's Date:
Name of Group this request is for:	Phone:
2. Street Address	Email Address
3. Dates Requested:
Start Date:	Time::
End Date:	Time::

4. Building Key Access: I need access to the building key.	I have access to the building key.

5. Rooms Needed (check all that apply): Fireside Room (FR) Office Conference Room (CR1) Adult Meeting Rm Lower Lvl (AMR) Music Room Lower Lvl (MR)	Great Room/Sanctuary (GR) Classroom Lower Lvl (CR2-9) Library Lower Lvl (LL) Kitchen (K)

6. Equipment Needed (check all that apply): TV/VCR/DVD Power Point	Sound System Other (explain)

7. Purpose for use:

8. Estimated number in attendance:

I understand that by hitting submit I am sending a request to People’s UMC church office for use of the facility. Submitting this form does not guarantee that my request can be fulfilled.

Thank you. You will be contacted soon regarding the status of your request.