Building Rental Form
Building Use or Rental Agreement
Event Date(s)______________________________ Purpose of ______________________________
Requested by: ____________________________________________ Member? (Y, N):______
Phone Number: (home)____________________________ (work)_____________________________
US Mail Address:__________________________________________City______________State___ZIP_______
Public__Private __UU Event__ Free? (Y, N)___ If no, how much will you charge?_____________
Number of people expected:_____________ Time: Event ____________to____________
Arrive___________ Leave___________ (Includes set-up & take down). Advance Preparation, Furniture needed, other? _____________________________________________________________________
Our Fee Structure:
- For a free event sponsored by nonmembers: $2 per person, but no less than minimum room charge, regardless whether it’s public or private.
- For a free event sponsored by Members:
B1) If open to the public, $1 per person
B2) If closed to the public, $1 per person, but no less than the minimum room charge.
- Fee Event (same charge to MEMBERS and NONMEMBERS, whether public or private): $2 per person, minimum room charges or 10% of total collected, whichever is greater.
Minimum Charge Per Room (for use of up to 4 hours. If over 4 hours, charge doubles.)
|Space(s) requested:||__Sanctuary: $50||__Large Room 1: $30||__Small Room 2: $25||__ Kitchen $25|
|Room fees for all spaces:||_______|
|Cleaning charge $25/hr::||_______|
|Set Up Fee:||_______|
|Sound Tech Fee $25.hr||_______|
Deposit received with reservation (50% total)__________________________________________________
Balance received (due 1 week before event)______________________________________________________ Please note:
- Alcoholic beverages are not permitted in the church building without special permission.
- Cancellation less than 3 days before a scheduled event may result in forfeiture of deposit.
- Renters agree to be financially responsible for all damages that may occur during your use of facilities.
- Security Deposit will be refunded upon completion of the requirements as follows:
_____Premises are clean and found in same condition as when rented
_____Heat & air conditioning reset and lights turned off
_____All doors locked
_____Key (s) returned to church office when program is completed
_____Payment in full of usage fees
* Cancellation less than 1 week before scheduled event will result in forfeiture of deposit. Earlier: $25. fee.
Applicant’s signature ______________________________________ Date ______________
UUCOB Representative signature ____________________________ Date ______________
Unitarian Universalist Congregation Ormond Beach P.O. Box 2827 Ormond Beach, FL 32175
Phone: (386) 677-6172 Email: firstname.lastname@example.org
Revised Apr 2021