Building Use Request
Email address *
Submitting this form does not guarantee approval. Please watch your email to receive authorization. Thank you!
First and Last Name: *
Your answer
Home Phone Number:
Your answer
Cell Phone Number: *
Your answer
Date(s) Requested: *
MM
/
DD
/
YYYY
Alternate Date(s) Requested: (rain date, snow date, etc)
MM
/
DD
/
YYYY
Start time of Event *
Time
:
End time of Event *
Time
:
Start time for Setup *
Time
:
Anticipated end time for Cleanup *
Time
:
Event Title *
Your answer
Event type *
Your answer
Blurb as you would like it to appear in the eblast, social media and in the OoS: *
Your answer
Percentage of proceeds to be donated to UUCRT: *
Please list any support you may need from members and friends (ie - # of people to set up, clean up, etc) *
Your answer
Thank you for your request - we'll get back to you within a few days of approval from the BOT. If you have any questions or concerns, please email Kris at aa.uucrt@gmail.com. Thank you.
A copy of your responses will be emailed to the address you provided.
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