FACILITIES USE APPLICATION

Please fill out this form and click submit to request access to Linworth UMC's facilities for your group or event. This request will be submitted to our Office Staff, who will be in touch with you shortly.

Name

*

Today's Date:

*

Date of Event:

*

End Date for Event:

*

Set Up Time for Event (if needed)

Start Time of Event

*

End Time of Event

*

Recurring Event?

*

Please select one option.

Yes No

If yes, specify recurrence (ex. "Monthly on the 3rd Wednesday")

Purpose of Event/Group name

*

Size of Group

*

Chairs needed (number)

Tables needed (number)

Responsible Person

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Room or Area Requested:

*

Please select one option.

Fellowship Hall Library Gathering Area Kitchenette Kitchen Worship Center Music Room (208) Showers Other (we will contact for further information)

Sound System (available in Worship center, for groups over 50. Fees applicable)

*

Please select all that apply.

Yes No

Sound Requirements:

Please select one option.

Vocals (singing) Instruments (i.e. guitar) Readers Cd's

Will you be serving Refreshments?

*

Please select one option.

Yes No

Admin Only:

Schedule Checked

Approved/Date

Disapproved/Date

Description

Please fill out this form and click submit to request access to Linworth UMC's facilities for your group or event. This request will be submitted to our Office Staff, who will be in touch with you shortly.

Please Fix the Following

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