UUR Room and Building Use Request Form
Please fill out this form completely and wait for an email confirmation before considering your request complete. If you have any questions, please email
or call 207-594-8750
Organization (or Person) requesting use
Purpose of Rental
Contact Person Name (who will be responsible for the room/building use)
Contact Person Email
Contact Person Phone Number
Date(s) Requested) and if repeating event, please specify
Times requested. Please include the following in your answer: 1) Setup start time (time you would like to enter building/have space available to you) 2) Start time of event 3) End time of event 4) End of cleanup time/time you will be exiting the building
Sanctuary (seats 130)
Collins Room (seats 50) - upstairs carpeted room, access to bathroom on level, access to small kitchen if needed
Griffith Room (seats 50) - downstairs, non-carpeted room, access to bathroom on level, access to large kitchen with dishwasher.
Robbins Room Library (seats 6) - upstairs, small meeting space, access to bathroom on level and small kitchen if needed
Outside lawn (only select if this is necessary to your event, like a wedding, picnic or sale)
Hallways/Common Space (only select if this is necessary to your event, like a wedding, picnic or sale) You DO NOT need to select this if just using the hallways and common space as you come and go to your meeting/group
Please check off the fee agreement that best suits you:
Sanctuary rental by a Church Member $50
Sanctuary rental by a non-church Member $100
Collins room rental by a Church Member $15 with $5 each additional hour
Collins room rental by a non-church Member $30 with $10 each additional hour
Griffith room rental by a Church Member $15 with $5 each additional hour
Griffith room rental by a non-church Member $30 with $10 each additional hour
Robbins Room Library by a Church Member $10 with $5 each additional hour
Robbins Room Library by a non-church member $20 with $5 each additional hour
No Charge because I am staff
No Charge because this is a program organized by a Church Member for Church Members
No Charge because this is a program organized by a Church Member that is FREE to the Public
No Charge because this is a Church Member wedding, memorial or other special event
A request to waive the fee - startup non-profit, startup new group
We are a pass-the-hat support group and would like to waive the fee, but will make a donation when we can
Furniture Required: Please state WHAT you need and HOW MANY. Options are: Tables, Chairs, Easels. Or write NONE.
UUR Equipment to borrow: Please state WHAT you need and if you will need HELP setting it up. Options are: Projector, Screen, Mics, Sound System, Conference Phone. Or write NONE.
Please select one of the following:
I DO NOT need help getting into the building - I have my own key / code
I DO need HELP getting into the building. Please contact me to setup a time to show me how.
I would prefer if someone could let me into the space, be onsite or lock up when the event is over. *This is dependent on the availability of staff and the fee paid to use the space.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of First Universalist Church in Rockland.
Terms of Service