APPLICATION FOR USE OF FACILITIES
First United Methodist Church 1376 Olive Street Eugene, OR 97401
office: 541.345.8764 fax: 541.485.5025
Please fill out this form completely. You may print it out and return it to the church office.
No space is reserved until the application has been approved by the staff or Trustees of FUMC. After your application has been reviewed, you will be notified.
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| Date of Application Group/Organization |
| Applying for use of: |
| Describe inteneded usage: |
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| Usage will be: one time only weeky monthly other: |
| Date desired: Room(s) desired: |
| Start/End Time of evcnt: AM PM to AM PM Arrival for Set Up: |
| Building Clear at: AM PM Estimated number of persons attending: |
| Tables? yes no How many? Round (seats 7-8) Oblong (seats 8-10) |
| Chairs? yes no At tables (how many per table?) Lecture Style Center Aisle Side Aisles |
| Podium? yes no Sound System? yes no Display Tables? yes no How many? |
Please draw desired set up on back of form.
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| Admission charged? yes no Offering taken? yes no Registration Fee charged? yes no |
| Proceeds, if any, will be used for: |
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| Reference: (name, address, zip and phone#) |
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| Is your group insured? yes no If yes, please provide a copy of the Certificate of Insurance and please add First United Methodist Church as "additionally insured" to the certificate. |
| Do you believe that the fee for your organization should be reduced? yes no |
| If yes, state reasons below: (or on the back of the form) |
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| I agree to be responsible for the conduct of those coming to, or participating in the activity for which this application is being made, and for any damage beyond the normal wear and tear which may occur as a result of this activity. I further agree that the church property will be used in accordance with the enclosed copy of Rules and Regulations of the Board of Trustees which I have read and understand. BY SIGNING THIS APPLICATION YOU AGREE THAT YOU HAVE RECEIVED A COPY OF THE SAFE SANCTUARY POLICY AND HAVE SIGNED THE WAIVER AND RELEASE FORM. |
| Name (printed) |
| Phone Fax# |
| Signature
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| Address |
For Office Use Only:
Total Fees $_____
Deposit $_____
Due: $_____
Safe Sancturary on file: _____
Approved By: ______Date: ______
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