REQUEST FOR USE OF FACILITY

Coburn United Methodist Church

3618 N. Maple Avenue Zanesville, Ohio 43701

740-454-0186

We welcome your organization to Coburn United Methodist Church. In order that your planning proceeds smoothly, we ask that you complete this form so that we can be prepared for your arrival and so that you are aware of the guidelines associated with the use of space at Coburn.  

We encourage you to contact us with any questions or concerns.

ROOM CHARGES:

_____Sanctuary                        

_____Chapel                            

_____Wilson Center Gym         ($100)

    Members using the Wilson Center Gym for groups not connected to the church

    will be charged $60. All fundraising events will be charged $250

_____Double Classroom            ($30)

_____Choir Room                      ($30)

_____Classroom                         ($30 each)  ____Number of rooms needed

_____Shelter House                   ($30)

_____Kitchen with equipment   ($50)

SERVICES:

_____Sound Operator ($50) Required for use of Sound Equipment

_____Video Operator ($50) Required for use of Video Equipment      

_____Organist/Pianist ($200) Recorded music will not be mixed with organ or piano music except with

          permission of the organist

_____Custodial Services is $25 per hour. Minimum of 2 hours

_____Open & Close beyond normal hours $25 per hour (Regular hours Mon – Fri  8:30 AM to 3 PM)

__________TOTAL (Please make check payable to Coburn United Methodist Church)

_____________________________________________________________________________     _____________________

Name of Organization/Group/Persons requesting use of facility                                                       Number of People expected

____________________________________________________________________________________________________

Contact Person                                                                                               Phone                                                         Email

____________________________________________________________________________________________________

Coburn Member or Affiliation             Date of Use             Times desired                                       Single use or Continuing

____________________________________________________________________________________________________

Room(s) or Facilities Requested

____________________________________________________________________________________________________

Purpose for use of rooms or facilities                             Special Set Up Instructions (Number of chairs, tables, etc.)

____________________________________________________________________________________________________

Comments/Concerns

By signature below and proceeding with the use of Coburn United Methodist Church Facilities, the Representative and the organization, group, or persons, agrees to the following Terms Of Use:

1. Facility use will be in accordance with the Policy Statement for the Use of Physical Facilities of the Coburn United Methodist Church.  (No alcohol use or smoking is permitted)
2. Payment of scheduled fees will be required one week prior to use. Fees may be waived for members and/or at the discretion of the pastor or trustee.
3. There is a $100 deposit required for the use of the facility.  This will be returned if the building is clean when use is complete.  
4. All requests for use of any facilities of the Coburn United Methodist Church must be submitted in writing to the church office Requests inside 30 days are dependent upon staff availability.
5. Requests will be granted on a first-come basis and will be granted only after review by the trustee representative on the Leadership Board or the Pastor.
6. The organization, group, or persons agree to restore the facilities to the condition that existed prior to use.
7. The use of Coburn United Methodist Church Facilities by the organization, group, or persons is at their own risk. The Coburn United Methodist Church will not be liable for any property loss or damage, or injury to any person(s) of the Organization or group using these facilities.
8. The representative signing this form is responsible to inform all individuals of the organization or group using Coburn United Methodist Church Facilities of these Terms Of Use.
9. The right to use church facilities may be revoked at any time.

____________________________________________________________________________________

Representative Signature                                                                                    Date

BUILDING USE RULES

• All decorating and room arranging must be scheduled at least one week prior to the event and accomplished during regular business hours. Our facility is closed after 3 PM on Friday evenings.
• Arrangements for decorating or set ups the day before an event must be made through the office and are only permitted if our facilities are not in use and staff is available.
• A member is defined as an active participant in the organization or group requesting facility use or an immediate family member of a family seeking use.
• It is asked that equipment inside the building not be used outside and that the custodian care for the movement of chairs and tables between rooms.
• It is expected that all decorations, behavior and practices of individuals and groups using the facilities of the Coburn Campus be consistent with common United Methodist and Christian practices.
• The Coburn facility can place no more than 35 round tables in the gym which will seat 280 persons or 40 long tables which will seat 320 persons.
• Nothing may be hung from the ceiling or basketball backboards.
• It is expected that organizations or groups will only be in the areas reserved by them and not make use of any other areas of the church except when appropriate such as restroom use.
• Emergency exits may not be blocked anywhere in the building.
• Safe practices must be followed at all times.
• Video and Sound Equipment may not be used without a representative of the Coburn Church who will operate that equipment.
• No gambling, games of chance or raffles are permitted on the Coburn Campus by United Methodist Church Law.
• No smoking or vaping, use of alcohol or use of drugs is permitted on the Coburn Campus.
• Unless other arrangements are made, you are responsible for setup and cleanup of the area.
• For emergencies please contact Angie White at 740-221-3686.