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.
* Required
Person or Group Responsible
*
Your answer
Type of Event
*
Meeting
Reunion/Family Event
Public Event
Community Organization Event
Church Function
Other:
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.
Active church member use
Inactive or Non-member/private use
Non-profit/public/community organization use
Commercial/for-profit use
Other:
Description of Event
Give a short general description/title of your event.
Your answer
Facility Requested
*
choose all that apply
Fellowship Hall
Kitchen
Prayer Room
Sanctuary
Nursery
Conference Room
Classroom (church basement)
Required
Additional Equipment Requested
please note additional fees may apply
TV/VCR/DVD player on cart
Projector and screen
Sound System
Wireless Internet
Other:
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
:
AM
PM
End Time
*
please enter the time when you will be out of the building (doors will be locked at this time)
Time
:
AM
PM
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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