United Church of Craftsbury ------------- Building Use Form

NameJessica Hodgdon

Phone Number(802) 730-3904

Emailjhodgdon542@gmail.comDescription of Function:Birthday partyDate(s) of Function:10/17/26

Time of Function:1-4pm

Number of People (adults and children) Expected to Attend:15-20

Time you will first need access to building:11:30amTime you anticipate leaving (after clean-up):4:30-5One time use or recurring event? (please check one):One Time Use

What room(s) would you like to use (example: Dining Room and first floor bathroom)dining room and fist floor bathroom

Does your organization or group carry liability insurance?No

ELECTRONIC CONSENT FORM-By typing your name below, you have read the FINE PRINT (https://www.unitedchurchofcraftsbury.com/building-use-online) and understand the rules and expectations.