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Request for Use of Building
Arena Congregational Church Arena, Wisconsin
Instructions: Fill out the entire form, checking appropriate boxes or filling in lines. Any incomplete forms may result in a delay in getting the event approved. Requests need to be made at least 30 days prior to the event. All events are subject to approval by the Governing Board of the Arena Congregational Church.
Today’s Date:
Name of Person, Party, or Organization making Request:
Telephone number of above person, etc.:
Reason for Request:
Date(s) of Event:
Time of Event from Start of Event to Finish of Event (include all set-up and clean-up time)
Start Time:
End Time:
Room(s) Requested:
Approximate number of participants:
Person Responsible for Turning on and off Heat or A/C used during the event:
One Time Use
Recurring Use
Require use of Kitchen:
List planned use of appliances and/or dishes:
We will need the building locked and unlocked for us at above noted times
We will provide our own clean up and will leave the premises as clean as we found them.
Clean-up includes putting tables back in their original locations, putting away any additional tables that were put out, emptying of any full trash bags and disposing of them, sweeping or vacuuming of any floor soiled, washing of soiled tables, dishes, or other items used.
We request Custodial Services at an additional fee.
We will require ongoing storage space at an additional fee.
We will have electrical appliances or equipment used on a regular basis.
We will need equipment set-up, i.e. tables and chairs.
List equipment set-up required:
Signature and title of person completing this form: