Facility Use Form

Facility Use Program Hillsdale United Methodist Church, Inc.

Facility Use Request Form

Online Submission

Please read the Facility Use Program prior to

submitting this form.

To ensure sufficient time for request consideration and approval, a request must be made no less than 45 days prior to the occurrence of the event (not applicable to athletic events which will be approved on a case by case basis except in the case of scheduled league play). The Board of Trustees will respond to all facility use requests within 15 days following receipt of a properly

completed and signed Facility Use Request form.

Date Submitted:

Applicant Name:

Applicant Address:

Street nbr & name:

          (add'l) Street:

          City, State & Zip:

Email Address:

Telephone: Home

Telephone: Cell

Group Name: (if applicable)

Description of Event:

Date of Event:

Event Hours: From   To

Estimated # of Attendees:

Type of Event:

Group #2 & #3

Birthday Party               Bridal or Baby Shower

Anniversary Party        Small Athletic Team Party

Family Reunion             Wedding (see wedding policy)

Group #5

"Small" Community or other Outside Organization (less than 100 attendees)

Sponsoring Hillsdale UMC Member Name:

Group #6
"Large" Community or other Outside Organization (more than 100 attendees)

Sponsoring Hillsdale UMC Member Name:

Rooms Needed: (Check off all that apply)

Sanctuary/Dining Area

Kitchen                     Full Use       OR          Serving Only

Classroom(s)   # of Classrooms Needed:

Needs for Event: (Check off all that apply)

Sanctuary Stage Area  (please note that only the front 10' area from side to side available for events)

Microphone                 (PA type only - one microphone)

DVD Player                  (available outside sound booth)

Tables/Chairs              (to be set up by group using facility)

Other:

Other Information:

I have read the Hillsdale United Methodist Church Facility Use Program and agree to the terms and conditions included herein. I have also read the Fee Schedule attached and have denoted all areas to be used for the requested event. I agree to be present for the entire event, and also will make sure that the Hillsdale UMC sponsoring member (if applicable) is present for the entire event. I understand that this request is subject to approval by the Church’s Board of Trustees whose determination shall be provided within 15 days of receipt of this form by the Trustees.

Fees are payable to the church office, as set forth in the “Fees” section of the Facility Use Program. Once fees are paid, they are non-refundable with the exception of the cleaning deposit.

Applicant Signature:      Date:

Sponsoring Hillsdale UMC Member:

Sponsoring Member Phone Contact: