Utica Church of Christ
Last update: December 27, 2011

Building Use Form
Please read the following agreement for requesting use of the church and then fill in the form below.

Important Agreement Information
The donation for the use of the building is $75.00 if you do not have the janitor clean up after you are gone.  If you wish to use the services of the janitor, please add $50.00 to this donation.  If you will not be requesting the janitor's services; please vacuum the floor, clean tables and take out the trash when done.

  • The date for you to use the building is reserved when this form has been submitted and reviewed by the church staff.

  • You are reminded that this building is a non-smoking and non-alcohol building.
     Absolutely no smoking or drinking of alcoholic beverages is permitted.

  • The church does not provide tableware or other supplies for your event.

  • The church is not responsible for lost or damaged personal property while using these premises.

  • Damage to church property during use is the responsibility of the person signing this form.

  • No confetti or small plastic cut outs are to be used in the building.

  • Please leave the building as close to the way you found it as possible.



Information Concerning Event
Please note that only the requested area(s) will be open to use. Please do not go into the other areas of the building (especially children). If you are not a member of the church and don't have someone attending that is a member, then someone from the church will attend the event as liaison to help.

Person/Group requesting to use the building:

Address:

Phone:

Email (optional):

Date of event:

Time of event (please include start and end times):

What area of the building will you be requesting: Fellowship Hall
Sanctuary
Class Rooms

Do you have someone in your group that is a member of the church? Yes
No

If so, what is that person's name?
  



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