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 a member or direct supporter of Cito UMC, fees are generally $75. For other use, such as 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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