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 mail@uurockland.org or call 207-594-8750
Email address *
Today's Date *
MM
/
DD
/
YYYY
Organization (or Person) requesting use *
Your answer
Purpose of Rental *
Your answer
Contact Person Name (who will be responsible for the room/building use) *
Your answer
Contact Person Email *
Your answer
Contact Person Phone Number *
Your answer
Date(s) Requested) and if repeating event, please specify *
Your answer
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 *
Your answer
Room(s) Requested *
Please check off the fee agreement that best suits you: *
Required
Furniture Required: Please state WHAT you need and HOW MANY. Options are: Tables, Chairs, Easels. Or write NONE. *
Your answer
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. *
Your answer
Please select one of the following: *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of First Universalist Church in Rockland.