Union Congregational Church, Magnolia MA, Facility Use Form
Organization *
Date of Event(s) *
Time of Event(s) *
Type of Event *
Room(s) Requested *
Are you requesting custodial assistance? (Please see fee information below) *
Contact Person *
Contact Cell Phone *
Contact Email Address *
Signature of person responsible for the event:
Rules and Conditions
• The Sanctuary is not available for events
• There is no smoking allowed in the church building
• No alcoholic beverages are permitted in the church building or on the grounds
• Gambling is prohibited
• Capacity limitations: vestry - 75 Nursery - 8 Upstairs Classroom - 12
• Building must be vacated by 9:00 PM
• Church related activities have priority over all other building uses
• Arrangements for clean-up and furniture rearrangement must have prior approval
• Placement of decorations must have prior approval
• If storm or other conditions force cancellation (either by you or Union Congregational Church) communicate with one of the Church Contacts listed below.

Your group is responsible for all clean-up and arrangement of furniture unless an agreement has been made with the church custodian.
Your group is responsible for segregating recyclables from trash and removal of both unless arrangements have been made with the church custodian.
Vestry - $200 Nursery - $50 Kitchen - $100 Upstairs classroom - $75 Custodial services (upon request)
Church Contacts
Abram Kielsmeier-Jones 978 525 3346
Keith Zellman 617 659 2631
Paul Rogati 978 768 6588
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