PUMC Building Usage Request Form
Please fill out form and hit submit
Event/Meeting/Activity Title *
Your answer
Brief Description of event/activity for requested space *
Your answer
Representing Organization/Group
Your answer
PUMC Relationship *
FacilityUsage request submitted by *
Your answer
Primary Contact person *
Your answer
Contact Phone/Cell Numbers *
Ex. (410) 647-1234 phone / (443) 123-1234 cell
Your answer
Contact Email Address *
Your answer
Date of Event *
Your answer
Event Start - End Times *
ex. 11am - 3 pm
Your answer
Setup Date (if needed)
Your answer
Setup Start - End Times (if needed)
Your answer
Contact Person day of event (if different)
Your answer
Contact Phone/Cell Numbers day of event (if different)
Your answer
Request is made for use of: *
Required
Does this event include food? *
Anticipated Group size (please specify number of adults and children) *
ex. 50 adults / 15 children
Your answer
For Kitchen use, check all that apply
For Fellowship Hall use, specify the number of table/chairs needed
Ex. 75 chairs, 8 round tables 10 oblong tables
Your answer
I have read and agree to the PUMC Facility Use Guidelines stated on the PUMC Web Page. I will not hold Pasadena United Methodist Church or any/all of its affiliates responsible or at fault for any accidents/injury that may occur during our appointed time allowed. *
Required
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