COMMUNITY CHURCH
Wednesday, January 19, 2022
An Ecumenical and Inclusive Fellowship of the United Methodist Church

Application for Facility Use

 
 
Community Church at Ocean Pines
a United Methodist Church
11227 Racetrack Road, Berlin, Md.  21811          Telephone:  410-641-5433         e-mail:  communitychurch@ccaop.org
Fax: 410-641-5433
Application for Facility Use
 
 
Activity Information
Activity: _______________________________________________________________________________________________________________
Facility Requested: ______________________________________________________________________________________________________
 
WILL THIS USE BE?
OneTime Event      Date of Event: _________________________  Start Time: ____________         End Time: ____________________
Ongoing :       Start Date: _____________________   End Date: ____________________   Day(s) of Week: _____________________
                         Start Time: _____________________   End Time: ____________________
Number of People Expected: _________________
Number of Tables Needed: ___________________   (Tables will seat up to 8 persons per table)
Number of Chairs Needed:  ___________________
*Special Equipment / Requirements Requested: _________________________________________________________________________________ __________________________________________________________________________________________________________________________
*Setup and take-down by staff is available at additional fee (see Guidelines), otherwise it is the responsibility of the user.
  
 
Group Information
Organization Name: ___________________________________________________________________________________________
Responsible Party: ____________________________________________________________________________________________
Address: _____________________________________________________________________________________________________
Telephone: _____________________________    E-Mail: _____________________________________________________________
 
Contact Person for Group (if other than Responsible Party): __________________________________________________________
Address:______________________________________________________________________________________________________
Telephone: _____________________________     E-Mail: _____________________________________________________________
  
Check All that Apply
Church Member/Organization
Not a Church Member
Ocean Pines Community Organization
Non-Profit Organization
For Profit Organization
  
Agreement:
 
I have read the conditions outlined in the "Facility Users Guidelines" Form available in the church office upon request and agree to abide by same, and to make every effort to insure our guest do likewise, if we are permitted the use of these facilities.
 
Signature: _____________________________________________                              Date: _________________________
                                                      
                                                                                                                   
For Use by Church Office:
 
A Certificate of Liability Insurance Form is Required:   Yes   No          If Yes, Date Form Received: ______________________
Request Approved by Office           Activity Placed on Calendar by: ________________________     Date: _______________________
Request Approved by Board of Trustees: Yes      No    Date; ______________________________________________________________
Key/Code Required (ongoing usage) Yes      No       If Yes, key deposit ($50.00) paid. Date: ______________________________
Total Fee: $_____________                          Deposit: $___________________        Date: _________________
Balance Due: $______________                    Date:  ______________________