Facility Use Request
First United Methodist Church, Stanley, North Carolina
This form must be completed and approved by the usage committee before the facility can be utilized.
Please check available dates on the website calendar before completing this form.
Applicant Information
Name of Group, Organization, Club, etc *
Your answer
Mission Statement *
What does your group wish to accomplish?
Your answer
Type of Event *
What type of event are you having?
Your answer
Requested Start Date / Time *
When does your event start? (Use 12:00 PM if it is an all day event)
MM
/
DD
/
YYYY
Time
:
Requested End Date / Time *
When does your event end? (Use 12:00 PM if it is an all day event)
MM
/
DD
/
YYYY
Time
:
Do you require additional access to the facility for setup?
Please provide details for any special setup or required preparation . . .
Your answer
Facility Setup Date / Time
When do you need to setup for your event? (Use 12:00 PM if it is an all day event)
MM
/
DD
/
YYYY
Time
:
How many people are expected to attend? *
(Approximate)
Your answer
Applicant's Full Name *
Please provide name for the responsible party
Your answer
Applicant's Email Address *
Your answer
Applicant's Address *
Address, City, State, Zip
Your answer
Applicant's Phone Number *
Primary Phone Number
Your answer
Alternate Phone Number
If you have an additional contact number . . . (not required)
Your answer
Kitchen Usage
If a different person will be covering the kitchen, include those details here . . .
Your answer
Does your group have insurance?
If so please provide company name, type of coverage, and contact information below . . .
Your answer
Other Special Needs
If there are any other special needs or request, please mention them here . . .
Your answer
Facility Information
Facilities to be used . . .
Main Street Campus
Check all facilities that are being requested . . .
Common Ground Campus
Check all facilities that are being requested . . .
Equipment Needed?
Indicate any equipment that may be needed . . .
Facility Special Requests or Notes
Please provide any information that may be helpful for facility setup . . .
Your answer
Please Read and Sign
I have read and agree to uphold the above rules for the use of the facilities of the First United Methodist Church/Stanley, NC. At no time will I or any of my affiliated group members hold First United Methodist Church/Stanley responsible for any injures that may occur as a result of our use of the facility. I also agree, as a responsible person that I will be held responsible for damages and actions of my group.

Approvals are contingent upon receipt of the agreed to fees.

I have read the rules and regulations for facility use. *
Required
Electronic Signature *
Please type your full name to electronically sign the form.
Your answer
Submit
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