|
Instructions; Please fill out this application and
then print the page and return to Roxanne at
rox252@comcast.net.
Remember that you must read the use of building form
and then fill out this information, print the page
and then email Roxanne or call her at (203)
757-0331. For a PDF version of the application,
please follow this
link.
By filling out this form it does not indicate that
the church will rent or let you use the hall and you
will be given further information and verification
for you.
Online Application for Use of Building
|
Date of Application: |
|
Name of Organization |
|
|
Contact Name: |
|
Type of Organization: |
|
|
Address (1) |
|
Address (2) |
|
|
City: |
|
State, Zip-Code |
|
|
Purpose of Organization: |
|
Type of Event |
|
|
Is this event for a
non-profit? |
|
If yes, who will it benefit? |
|
|
Any admission fees? |
|
If yes, please state
amounts; |
|
|
Representative Contact
Number |
|
Contact Email Address: |
|
|
Representative Address: |
|
City,
State, Zip-Code |
|
|
Are you a member of this
church; |
|
Anticipated Attendance: |
(approximate) |
|
PROGRAM NEEDS: |
DATES NEEDED: (Starting)
|
Enter end date; |
|
|
Times: (Starting - Include
Set-up) |
|
End Time (Include Breakdown) |
|
|
Frequency |
|
If more than once enter
dates: |
|
|
|
|
|
|
|
Enter needs: |
Chairs
May charge for chairs over
thirty. |
Tables
May charge for chairs over
fifteen. |
Microphones
|
Please Enter Other Needs
such
as Stage, TV, kitchen, podiums,
screens,
etc... |
|
Please enter the rooms you
are planning to use, such as
main hall, kitchens, other
rooms; |
|
|
Use of Organ? |
|
Director of Music Clearance; |
|
|
Certificate of insurance? |
|
Name of Insurance |
|
|
Have you read the
rules of
use? |
|
Have you contacted Roxanne? |
|
|
You
must print this application and submit via fax,
email or in person. If you have any questions you
should contact Roxanne. Once you print and submit
this application it will constitute as if you had
completed the actual application. Please read and
print a copy of this form and
rules of use for your
records. I, the undersigned, agree to comply with
the rules and regulations as stated in the form I
have read and printed. We will only those rooms
assigned, and following the directions given by the Church
Building Agent on duty. In addition you must provide
proof of insurance through a certificate of
insurance. Additionally your event might
require a Sexton to be on duty.
____________________________________
Date:
Please sign
above |