Facility Use Request


The Undersigned has downloaded (
Click Here to download), read and 
understands the Facility Use Policy and agrees that User will abide by this policy.

Additionally, the undersigned accepts responsibility for explaining and enforcing this policy with the undersigned organization(s) and persons using the facility,
prior to their use of the Church facility.

If you have further questions, please contact Emily at (808) 947-5069 or by email.

Organization Name *

Type of Organization *
CUC Staff
CUC Preschool
Church Council *
Non-Profit
Other

If Other, please specify

Organization Mission *

Organization Address *

This Agreement may be executed by electronic signature. Entering your name in this box shall constitute a legal and binding electronic signature and shall be effective for all purposes when so signed. *

Date of request *

Your Title

Your Name *

Your Phone *

Your Email

Your Fax

Facility Requested *
Atherton Chapel
Atherton Courtyard
Fireside Room
Mauka Meeting
Parish Hall
Rewick Board Room
Sanctuary
Women's Building
Other

If Other, please specify

Type and purpose of your function *

Date and Time of requested use of facility *

Are you planning to have any food at your event? *
Yes
No

Estimated number of people attending *
<25
25-50
50-75
75-100
100+

Estimated number of parking spaces needed *
<25
25-50
50-75
75-100
100+

Further information which you feel would be helpful


powered by poppydog.com


 © 2012 Central Union Church