FACILITY REQUEST FORM

Due to multiple events and activities, Sundays are not available for use of the church.

Today's Date *

Your Group:

Group Contact Person *

First

Last

Contact Email *

Contact Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Have you used our facilities before? *

Yes
No

Room and Equipment Needed

Start Date / Time (including setup) *

Date

Time

Please note the time you will arrive to begin setting up for your event, not the start time of the event.

End Date / Time (including cleanup) *

Date

Time

Please note the time as the time you expect to be leaving Speedway UMC after any teardown and cleanup.

Do you intend to serve food? *

Yes
No

Do you need kitchen facilities? *

Yes
No

Description of Event and Activities Included *

How Many People are Expected? *

Will you be charging admission? *

Yes
No

Will items be sold? *

Yes
No

Is this event open to the public? *

Yes
No

The church requests and appreciates a donation of $100 for non-members and $50 for members. We are most thankful for anything above and beyond that amount. Would you be willing to make a donation to the church to cover the cost of utilities and services? *

Yes
No

If you're willing to make a donation please list the amount you intend to donate

Phone

By submitting this form you are agreeing to be responsible for enforcing the following rules of the church:

No smoking or controlled substances, including alcohol, are allowed in the church building or on the property.
All furniture, such as tables and chairs, will be put back as they were found.
Any trash accumulated will be put in proper receptacles and taken to the dumpster.
Please remove all signage from doors when your event is over.
You and your guests are only permitted in the room(s) / restrooms that have been approved on your Facility Request Form.
During the pandemic, we follow the Marion County requirements such as masks and social distancing.

FACILITY REQUEST FORM

By submitting this form you are agreeing to be responsible for enforcing the following rules of the church:

Speedway UMC

Worship Times

Casa de Dios

Child Care Ministry