COMMUNITY CHURCH
Sunday, October 21, 2018
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:  ccaop@mchsi.com
 
Application for Facility Use
 
 
Activity Information
 
 
Reason for Request:
Facility Requested:
 
WILL THIS USE BE?
 
OneTimeEvent      Date:
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:
To receive a copy of this form re-type E-mail
Contact Person for Group (if other than Responsible Party):
Address:
Telephone:      E-Mail:
 
 
Check All that Apply
 
ChurchMember/Organization
NotaChurchMember
OceanPinesCommunityOrganization
Non-ProfitOrganization
For ProfitOrganization
 
 
Agreement:
 
I have read the conditions outlined in the "Facility Users Guidelines" Form 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.
 
 
 
Name:                                                                Date:
 
 
                                                                                                                             
For Use by Church Offices:
 

 
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
Total Fee:                          Deposit:
 Balance Due:                     Date: