First Congregational Church of Rochester

 

Property Use Request Form

 

 

 

Individual(s) making request __________________________________________

 

Date of request: _______________

Date(s) for use: _______________

Church Member: Yes____  No____

 

 

Organization/Individual(s) Contact Information:

 

Name: ____________________________________________________________

Address: __________________________________________________________

Contact Name (if different from requester): ______________________________

E-mail: ___________________________________________________________

Telephone number: _________________________________________________

Non-Profit: Yes___ No_____

 

 

Church Property to be used: Check for use;

Church___

Fellowship Hall___

Kitchen____

Vestry____

Tables____Qty____

Chairs____ Qty_____

Parking Lot ____

Other (please specify)______________________________________________

 

 

Describe the reason for use of Church Property:

 

 

 

 

 

 

Approved____ Denied_____By____________________________________