Building Use and Date Request Form
Please fill out this form to request a date and time to utilize a space in our building. Be as specific as possible.

Please remember that all church functions have priority. Do not assume that the requested date and time are available until you receive confirmation back from the secretary.

There is a $75 refundable deposit for church member usage. If you are not a church member, the secretary will give you the fee according to the area of the church you are using.

Your group is responsible for making sure that everything is cleaned up and put back in it's proper place upon the end of your event, including taking the trash out to the dumpster.

No alcohol, firearms or smoking is allowed on church property.

No tape is to be used on walls, doors, etc. It leaves a sticky residue and or takes paint off the wall.

Violation of any CUMC policies, rules or regulations will result in removal from property.

Name *
Your answer
Email *
Your answer
Phone number: *
Your answer
Purpose of Building Use: *
Your answer
Number of persons expected: *
Your answer
Date requested: *
MM
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DD
/
YYYY
Second choice date (if first is not available): *
MM
/
DD
/
YYYY
Third choice date (if first two are not available): *
MM
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DD
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YYYY
Time requested (event start time and time frame for set up and clean up) *
Your answer
Area of building requested: *
Is there any additional information we may need to process your request?
Your answer
FOR OFFICE USE ONLY
Your answer
Date & Time Approved
MM
/
DD
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YYYY
Submit
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