Realm Request Access Login to REALM FORMS AND POLICIES Facilities and Board of Stewards Forms and Policies Facilities Use Request Facilities Use Request I have read the Facility Usage Policy * The facility usage policy is available on the Admin page Yes Group or Organization * UCUMC Member? * Yes No Contact Person * Must be present at the event. First Name Last Name Contact Person's Phone Number * (###) ### #### Contact Person's Email * Contact Person's Address Address 1 Address 2 City State/Province Zip/Postal Code Country Name of the Event * Should this event be published on the church website calendar? * Yes No Date of Event * MM DD YYYY Event Start Time * Hour Minute Second AM PM Event End Time (must be before 9:30PM) * Hour Minute Second AM PM Pre-Event Set-Up Time Hour Minute Second AM PM Post-Event Reset Time Hour Minute Second AM PM If this is an ongoing event, please include start/end dates, and frequency (ex. every Monday, every other Saturday, every T/Th, etc.) Event Description * Rooms Requested (if unsure, please indicate preferred size and type of room needed, or refer to the campus floor plan on the Admin tab) * Number of Attendees Expected * Is this event a fundraiser? If yes, you must also submit the Project and Fundraising form found on the Admin tab of the website. Yes No Will a kitchen be needed? No Yes, full service (cooking and serving) Yes, serving only (catered event) Are there audio/visual needs? If yes, please specify (ex. 2 microphones, projector, technician support, etc.) Is nursery care needed? (only available to church ministry groups) No Yes (requires that you submit a nursery request on the Admin page) Line Certificate of Liability or Hold Harmless Agreement All OUTSIDE groups MUST submit either a Hold Harmless Agreement (see Admin page) or a Certificate of Liability (annual resubmission required, including insurer and policy number. Church ministry groups are exempt from this question. This event is for a UCUMC ministry Hold Harmless Agreement (submit through Admin page) Certificate of Liability (email policy directly to RHoltzhausen@ucumc.org after completing this form) Your Name * First Name Last Name Thank you! Hold Harmless Agreement Facility Usage Policy Board of Stewards Guiding Principles Board of Stewards Project/Fundraiser Proposal Celebration Garden Paver Stone Order Form Safe Sanctuary Policy UC Kids Forms and Policies Safe Sanctuary Recertification UC Kids Annual Information Update UC Kids Information Request Form Child Care Request Form Safe Sanctuary Policy
