Building Use Form
This form is for organizations/community members to fill out information when wanting to obtain information about renting out our building for their use. 
Please read the following: 
Church On Main's Mission Statement 
Church on Main is a worshipping community where we seek to follow the way of Jesus through:
– Love of God, self, others,
– Mission to all in need,
– And celebration of our diverse identities, including race, ethnicity, gender, nationality, physical and mental health, age, sexual identity, religious background, and social-economic status.
We intentionally affirm and welcome all.

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Date of Inquiry 
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Email *
Phone  *
Name  *
Website/Social Media (if applicable) 
Why are you interested in renting out our space?  *
Please describe the services provided by your organization:
*
Do you work with youth or adults?
*
Which space are you looking to rent out?  *
How many people do you need to accommodate?
*

When do you want to start using the building?

*
How frequently would you need space? (example: one day event or M/W every other week)
*
What specific times do you need to utilize building space?
*
Do you need any special accommodations for building use?
*

Do you carry insurance for your program and organization?


*
In what ways do you think you and your program can make a difference in the area of Middletown/MOT?
Mission Statement:
Church on Main is a worshipping community where we seek to follow the way of Jesus through:
– Love of God, self, others,
– Mission to all in need,
– And celebration of our diverse identities, including race, ethnicity, gender, nationality, physical and mental health, age, sexual identity, religious background, and social-economic status.
We intentionally affirm and welcome all.


How does you event/organization further this mission and values of the church?
*
Buliding Use and Policy Document
Building Use and Policy Document
After reviewing the document above: do you agree to our building use and policies?  *
Any other questions or comments you’d like to share?
Submit
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