JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
UUCR Building Access Request
Please submit your request for building access at least 24 hours ahead. Requests made last minute are not guaranteed to be granted. For an emergency please send a text message to Congregation Administrator at 240-454-0146.
To see how to access the key, watch this 45 second video:
https://www.youtube.com/watch?v=DeXZukzP_OA
Sign in to Google
to save your progress.
Learn more
* Required
Reason for building usage?
*
Your answer
Have you checked the schedule and cleared the request with the Congregation Administrator? If no, please email your request to
administrator@uucr.org
before completing this form.
*
Yes
No
I agree that in requesting access that I will wear a face covering from the time I leave my vehicle to my return to it and the entirety of my time on the UUCR campus, both inside and outside, covering my nose, mouth, and chin.
*
YES, I understand and agree.
NO
I agree to ensure that I leave every space as I found it or as I know it to be.
*
YES, I understand and agree.
NO
I agree to ensure that any door I unlock will be relocked upon my departure.
*
YES, I understand and agree.
NO
I understand that not following these guidelines can cause independent access to be revoked and I would only be allowed on the UUCR campus with the supervision of a UUCR staff member.
*
YES, I understand and agree.
NO.
Name:
*
Your answer
Email address
*
Your answer
Cell Phone (Code will be sent via Text)
*
Your answer
Request Date
*
MM
/
DD
/
YYYY
Request time
*
Time
:
AM
PM
Building for Access
*
Building 1/5
Building 2 (ECC)
Building 3 (RCNS)
Sanctuary (Access through building 1)
Building 4
Required
You will receive a message back shortly. Have a wonderful event, meeting or time at UUCR!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Unitarian Universalist Congregation of Rockville.
Report Abuse
Forms