Cedarville United Methodist Church - Changing Lives With Jesus

Cedarville UMC Facilities Use Request Form

This form is for requesting facility use only!
The requested room may not be available for the date and time requested!
Do not count on using the facility unless you receive a confirmation from the Church office.
Please review the CUMC Facilities Policies and Guidelines before submitting your request.

Please complete ALL of the required information then click on the [Send] button.
Required fields indicated by *.
PDF version of this form
Person requesting use:

Name*:

Email*:

Address:

Phone*:

Group requesting use:

Name*:

Purpose of Organization:

Room Request: Facility Map
(Map Opens In A New Window)

Room(s) Requested:
FLC Stage Requested? If yes, I understand that because of prior committments or activities, the FLC stage may NOT always be available when using the FLC!
Date Needed:
Time Needed(Including set up and clean up): From: To:
Time of Event: From: To:

Type / Purpose of activity:
(please describe in detail)

Estimated Attendance:

Adults:    Youth:    Children:

Food / Beverage Information:
(see section 10, 14, & 16)

Type of food / beverage to be served:

I understand that we must provide our own condiments, plates, cups, napkins, serving utensils, etc.

Nursery / Toddler area:
(for pre-school age children)
(see sections 16.4 & 16.8)

Use Requested:   Yes   No
If yes, I understand that, in order to use the Nursery/Toddler area, we must have at least 2 mature, responsible people present with the children at all times, and children must remain in the nursery/toddler area or be with their parents.

AV Equipment:
(deposit required)
(see sections 13 & 15)

(AV technician required)

YOU MUST CONTACT THE AV COORDINATOR IF YOU WILL USE ANY AV EQUIPMENT, or the equipment may not be available.
2 wired microphones are available in the FLC or Sanctuary.
Use requested:   Yes  No

Additional wireless and lapel microphones, Video, CD and Cassette player are available, but require the presence of our AV technician. If yesYou must contact the AV Coordinator
(Contact info. see section 17)

Donation / Fee / Deposit Information:

Required Donation or Fee for the use of area(s)/equipment:
(from donation schedule, sections 12 & 13): $
Date / Time Deposit paid:
Deposit amount: $
Type of Deposit: Check #   Other:

Event Sexton:
(see section 8)

Name:

Phone:

I am familiar with and understand the Facilities Policies and Guidelines of Cedarville United Methodist Church.