Trustee /Facilities

Ministry Name /Contact Person *

First

Last

Event/Activities/Meeting Request Form for Mt. Pleasant UMC Calendar and Facilities

Phone *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Name of Event or Ministry *

Event/Activity Information

Date / Time *

Date

Time

Set-Up

Day of the Week

Room Requested

If you selected the ball field, give the reason for use

Mt. Pleasant ISN’T liable for any incidents or accident that may occur on the Ballfield or Walking Park/Basketball Court**

If you selected a classroom(s) in unity hall, how many rooms?

Please List Equipment Needed

Overhead • TV-VCR-DVD •Screen • Projection Unit •Microphone *White Board Tables--Quantity •Chairs--Quantity •Easel Quantity •Podium--Quantity

I understand this is a building designed for Christian usage, and I pledge to abide by the rules of the church. Type your name if you agree: *

TO USE THE CHURCH FACILITY, YOUR RESPONSIBILITIES ARE: I will be the accountable person for this event, and will check in and out of the facility with the caretaker. I will be responsible for: (1) leaving the room(s) in order; (2) disposing of trash; (3) if kitchen is used, cleaning per kitchen use instructions; (4) if supplies are used, putting supplies back in their storage places.

Print your name if you agree to give Donation

We ask you to leave a Donation/Love Offering for the use of Church Property

The completion of this form does not guarantee your request. You will be notified when your reservation has or has not been approved. *

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