High Street United Methodist Building Request Form
FILLING OUT THIS FORM DOES NOT MEAN YOU HAVE BEEN APPROVED. Staff meetings are every Tuesday where your request will be discussed. There will be a follow up call to let your group know if they have been approved.

IMPORTANT: THIS REQUEST MUST BE MADE A WEEK BEFORE YOUR REQUESTED MEETING DATE.

Door Security is needed for any activity after 5pm which will require a $25 fee. Additional charges of Fifteen dollars ($15.00) per hour will be incurred for all times over 6 hours.

Media Agreement: When the public media is present, I will inform the media and the group which I represent that High Street United Methodist Church is not responsible for, or a sponsoring organization of, the below meeting.

Damage Agreement: It is understood that financial responsibility for any damage to building or facilities resulting from this use rests with this group. It is expected that the group will use diligent care to prevent such damage.

Date of Requested Event *
MM
/
DD
/
YYYY
Name of Organization or Event *
Your answer
Contact Person's Name *
Please enter first and last name
Your answer
Contact Person's Phone Number *
Please enter a number you can be reached at during the day.
Your answer
Email
Please list an email address. (if applicable)
Your answer
Meeting time *
We will need start and finish time.
Your answer
Set up time *
Do you need extra time before or after the meeting? How long?
Your answer
Number expected *
How many people are you going to need space for?
Your answer
Facilities Needed *
Re-arrangement of furniture and/or refreshments being served requires custodial services. (Outside groups this room rent fee is required)
Is Food Being Served? *
Kitchen Use
A designated member of High Street Church must be on hand when the kitchen is used.
Please provide a description of the requested room set-up *
If you are going to provide a drawing please send it in the mail at least 2 weeks before the event is to take place.
Your answer
What items will you need for your meeting? *
Required
Please sign and date. *
Your answer
Submit
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