The Cross and Flame is a registered trademark and the use is supervised by the General Council on Finance and Administration of The United Methodist Church. Permission to use the Cross and Flame must be obtained from the General Council on Finance and Administration of The United Methodist Church - Legal Department, 1200 Davis Street, Evanston, IL 60201.®

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Community Church at Ocean Pines
Application for Facility Use


Activity Information:

Activity: _________________________________________________________________
Facility Requested: _________________________________________________________
Will this use be One Time Ongoing
If One Time Date of Event: ______________
If Ongoing: Start Date: _________ End Date: ___________
Day(s) of week: _____________
Start Time: ____________ End Time: ________________
Number of people expected: ___________
Number of Tables Needed: ___________ Number of Chairs needed: ______
Special Equipment/ Requirements Requested: ____________________________________

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 User Guidelines” Form and agree to abide by same, and to make every effort to insure our guests do likewise, if we are permitted the use of these Facilities.

____________________________________________ ____________
Signature                                                              Date

 
For Use by Church Office:
A Hold Harmless 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 Required (ongoing usage)  Yes, No
If Yes, key deposit ($50.00)paid (Date) _____________
Total Fee: ________ Deposit: _________ Date:_____________
Balance Due: __________________ Date: ________________
 


 


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Copyright 2005, Community Church at Ocean Pines
This web site is the responsibility of William Wolf any
comments you may have can be directed to wthwolf@ccaop.org  
®The Cross and Flame is a registered trademark and the use is supervised by the General Council on Finance and Administration of The United Methodist Church. Permission to use the Cross and Flame must be obtained from the General Council on Finance and Administration of The United Methodist Church - Legal Department, 1200 Davis Street, Evanston, IL 60201.