North Highland United Methodist Church
Wednesday, April 14, 2021
Open Hearts, Open Minds, Open Doors
Facility Use Request
(fill out for priorities 2-5)
Name of person making the request ____________________________
            Member ______________   Non-member___________________
Date requested __________________________________
Time (also includes time for decorating if needed) Start_______ Finish _______
Type of Activity ____________________________________________________________
Approximate number of guests attending ________________________________________
Type of refreshments served __________________________________________________
Will you need a special table arrangement? Yes_____ No_____
            If yes, please describe. ______________________________________________
Will you use the church’s plates, glasses, cups, and silverware? Yes_____ No ______
Will you require the use of the dishwasher? Yes_____ No______
            (There is a separate $20 dishwasher fee.)
            Are you familiar and comfortable operating the dishwasher  Yes___ No ___
Are you familiar with our kitchen? Yes____ No_____
            Will you need help in the kitchen? Yes_____ No_____
Will you require the use of the church linens? Yes_____ No______
            (There is a $3.00 charge for each linen used to cover the cost of cleaning.)
________________________      ______________
              Signature                             Date
Please print, fill out, and return to church.