Building Use Form

Building Use Form

Memorial Presbyterian Church

Room Request and Building Use Form

Organiztion or Individual Name *
Organiztion or Individual Name
Contact Name/Responsible Party *
Contact Name/Responsible Party
Contact Phone (Primary) *
Contact Phone (Primary)
Contact Phone (Secondary/Work)
Contact Phone (Secondary/Work)
Contact Address *
Contact Address
Event Time
Start Time *
Start Time
End Time *
End Time
Set Up Start Time
Set Up Start Time
Clean Up End Time
Clean Up End Time
Event Type
One Time Event Date *
One Time Event Date
Reoccuring Event Start Date
Reoccuring Event Start Date
Reoccuring Event End Date
Reoccuring Event End Date
Days of the Week for Reoccuring Event
Weeks of the Month for Reoccuring Event
Frequency of Reoccuring Event
Event Details
Member of MPC?
Has this event been previously held at MPC?
Will there be a program fee or admission charge
Is this a fundraising or income producing event?
Will you need rehearsal time?
Will there be children under the age of 18 participating or attending?
Tables Needed
Please let us know the quantity of tables and linens needed for your event.

A 50% deposit will be required to book your event. Your date can be held for up to one week before deposit is due.

Please review the building use policies for pricing and fees associated with use of our facility. Once your event or program has been approved and your needs have been determined, a detailed invoice will be created, which will determine the amount needed for your deposit. If a special set up is required, contact the MPC office to discuss the details of your event or program.

Application for building use must be submitted a minimum of six weeks prior to the requested date of use. Each application is carefully reviewed by a committee designated by the Trustees of the church. Waiving or reduction of fees may be considered for members and affiliated non-profit groups and organizations, based on the criteria listed in the guidelines for determining and allocating use of facilities (see building use policies). This is determined on a case by case basis and any reduction of fees would be considered an in-kind donation on behalf of Memorial Presbyterian Church.

After your form has been submitted and reviewed, you will be given notification of your approval status and provided with a detailed invoice, if approved. You will have one week from date of approval to submit your deposit. After one week, if deposit is not received, room availability will not be assured. Full payment is required on or before the day of use.

I have received, reviewed, understand, and agree to the building use policies and fee schedule provided with this form.