Application for Facility Use - Rev. 2.0

Concord Friends Meeting

11 Oxbow Pond Rd, Canterbury NH 03224

PropertyCommittee@ConcordFriendsMeeting.org

Application for Facility Use

Name of Organization or Individual Renting or Using the Facility: Name of Responsible Person: Name of Contact (if different): Mailing Address: Zip: Phone (Cell): Phone (Work): Phone (Home): E-Mail:

Event Name and Description:

Rooms(s)/Services Requested:

Hospitality for Type 1 uses only: Would you like hospitality if it can be provided?

YES NO

Type 1 uses only. Please describe hospitality needs of your group:

Do you expect children to attend your event?

YES NO

If yes, how many children do you expect to care for by age group?

0-2: 3-5: 6-9: 10-13: 14+:

Please describe the activities and staffing planned for children:

The Meeting asks Type 1, 2 & 3 users to return the facility to the state it was in prior to. This includes returning furnishings, equipment and supplies to the locations they were in at the start of your event and light cleaning. Please sweep, mop up spills, vacuum carpets, and wipe down counters, sinks, and appliances used.

By submitting this application, I acknowledge that I have read the Facility Use Policy provided me, and I accept responsibility to ensure our use adheres to the Policy.

Signature or Name (if submitted electronically): Date:

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Clerk [at] ConcordFriendsMeeting [dot] org

Concord Monthly Meeting of the Religious Society of Friends (Quakers)

11 Oxbow Pond Road, on unceded Pennacook-Abenaki land in

Canterbury, New Hampshire 03224-2043 USA

Concord (NH) Friends Meetinghouse: 43.2970, -71.5827

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Application for Facility Use - Rev. 2.0

Concord Friends Meeting

Application for Facility Use