Building Usage Request
Please review the Building Usage Rules and Regulations document (https://goo.gl/RXpRZ5) prior to submitting your request.

Please note any fees applicable to your use and mail them to Cito UMC, ATTN: Building Use, 3746 Cito Road, McConnellsburg, PA 17233 after you submit this form.

Person or Group Responsible *
Your answer
Type of Event *
Type of Use *
Usage fees depend on the type of use and who is using the building. If you are an active member or direct supporter of Cito UMC, fees are generally $75. For other use, such as inactive members or non-member/outside private use, fees are generally $150. For non-profits and other community organizations, fees are reduced and sometimes waived. Commercial and for-profit use fees vary and will be agreed upon prior to use.
Description of Event
Give a short general description/title of your event.
Your answer
Facility Requested *
choose all that apply
Required
Additional Equipment Requested
please note additional fees may apply
Event Details *
Provide more details about your event, including expected number of guests, if you will have food being served, music, etc.
Your answer
Date of event *
MM
/
DD
/
YYYY
Start Time *
please enter the time when you'd like the building unlocked
Time
:
End Time *
please enter the time when you will be out of the building (doors will be locked at this time)
Time
:
Additional days/times
Please give any other days/times you need access to the building for this event (i.e. setup time, decoration time, etc). Give the date and start and end times.
Your answer
Acknowledgement
I understand that I am responsible for the appropriate behavior of those present at the scheduled event(s) and for the conditions of the facility and equipment when the event is finished. I will immediately notify the facilities coordinator in the event that there is any damage to Church property or injury to any person during the course of the scheduled event. I also agree to abide by all rules and regulations set forth in the “Use of Church Facilities” policy. If I do not abide by these rules and regulations, I understand that my request for usage may be denied in the future, or additional fees may be accessed.
Signature *
Type your name to acknowledge the paragraph above.
Your answer
Phone Number *
Your answer
Email address
Your answer
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