FPCU Facilities and Building Use Request Form | First Presbyterian Church Ulysses

Name (Required)

Email Address (Required)

Name of Organization (if applicable) (Required)

If not applicable, please enter "N/A"

Times of Use (Please include set-up time, start time, finish time and clean-up time) (Required)

Please include set-up time, start time, finish time and clean-up time. Restricted access from 2PM-6PM Mon- Fri., school calendar dates, without mutual agreement with TASP and FPCU.

Facility room(s) requested: (Required)

Associated Facility Fee(s): (Required)

Please refer to FPCU Facilities Use Policy for fee information. If not applicable, please enter "N/A"

Reason for use/event: (Required)

Please describe your event.

Estimated # attending: (Required)

# of Tables Needed

# of Chairs Needed

Will there be an admission/registration fee for this event? (Required)

Person in charge during the event: (Required)

Name of person who will be on-site and in charge during the event.

Email and phone number for person in charge during the event: (Required)

I ACCEPT RESPONSIBILITY for any damage or loss to the FPCU buildings or their content during our use. (Required)

Signature (Required)

Your typed name will serve as your signature.

Solve 9 + 5 = ?

First Presbyterian Church of Ulysses

69 E. Main Street P.O. Box 597

Trumansburg, NY 14866

607-387-8185

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