Unitarian Univeralist Community Church 10441 Shaver Road • Portage Michigan • 269.324.7262



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Application for In-House Use of Church Facilities
Members and Friends of UUCC should use this form to request use of the building for Church related activities. Requests for non-UUCC related activities should be made via the External Facility Use Form, or by contacting the Facility Rental Coordinator(s).
Your name
Committee, group or covenant
Contact person (if different)
Day phone
E-mail
Type of event
Room(s) requested Sanctuary
Community Room
Kitchen
Lower Level
Date Requested
Start Time
End Time
One time event
Recurring event  
Key Required
Setup Required
Childcare Provided?
If so, I have read, understand and will abide by the Childcare Guidelines.
I have read, understand and will abide by the
UUCC Facilities Use Policy.
Comments: