Building Usage Request
Please review the Building Usage Rules and Regulations document (
) 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
Type of Event
Community Organization 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.
Active church member use
Inactive or Non-member/private use
Non-profit/public/community organization use
Description of Event
Give a short general description/title of your event.
choose all that apply
Classroom (church basement)
Additional Equipment Requested
please note additional fees may apply
TV/VCR/DVD player on cart
Projector and screen
Provide more details about your event, including expected number of guests, if you will have food being served, music, etc.
Date of event
please enter the time when you'd like the building unlocked
please enter the time when you will be out of the building (doors will be locked at this time)
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.
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.
Type your name to acknowledge the paragraph above.
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This form was created inside of Cito United Methodist Church.