FACILITIES REQUEST FORM

Unitarian Universalist Congregation

7850 West Goeller Blvd. Columbus, IN 47201

812-342-6230 http://uucolumbusin.org

Requested by:

____________________________________________

Purpose of event:

____________________________________________

 Contact person(s):

 ____________________________________________

Phone Number:

(h)_____________________ (w)__________________

Email Address:

____________________________________________

US Mail Address:

____________________________________________

Will you charge a

fee?____________ If so, how much? ________________

 Space Requested:

Sanctuary ______ Fellowship Hall ______Kitchen______

 

Playground ________ Meeting room(s) ______________

 Date(s) Requested:

____________________________________________

No. of people

expected:______________________________________

Starting time:

__________________Ending time: ________________

Advance Preparation

Needed:_______________________________________

Furniture Needed?

_____________________________________________

 How arranged?

 ____________________________________________

 

Alcoholic beverages are not permitted in the church building without special permission.

 

Requesters must agree to be financially responsible for any and all damages that may occur during our use of these facilities.

 

Completed form should be sent to:

Sharon Beach

sharon@beachfamily.net

Or

UUCCI

7850 West Goeller Blvd. Columbus, IN 47201

 

Last updated 5/19/2006