Room Rental

If you are interested in renting a room, please fill out the form below. Questions? Contact Mary Kaye Sautbine at mksautbine@fishersumc.org or 849-1805 ext. 402 (Mary Kaye works on Mondays, Wednesdays and Fridays, it may take a few days for her to get back with you.)

*Please note: filling out this form does not mean that you have booked the room. Someone on staff must contact you before it is considered booked.

Name Of Group Contact Person

Email Address Telephone

Address City

Dates Requested

Meeting Time(s): Event Start Event Stop

Setup Start Cleanup Stop

Rooms Requested

Number of People Number Of Chairs Number Of Tables

Kitchen Needed? Kitchen Training Completed? Podium Needed?

Chalkboard Needed? Audio/Visual Needed? Childcare Needed? *If yes, please tell us age range, how many children

Please list all other requests and details here:

FACILITY USAGE WAIVER & RELEASE OF LIABILITY By checking this box and submitting this form, I hereby agree that my decision to have my group participate in any and all exercise/athletic programs, group events or meetings shall be at our own risk. I understand that Fishers United Methodist Church shall not be liable to any member of my group for any claims, demands, injuries, damages, or actions arising due to injury to person or property arising out of or in connection with participation in any exercise/athletic program, group event or meeting held on Fishers United Methodist Church premises. I hereby hold Fishers United Methodist Church, its officers, agents, members, and employees harmless from all claims which may be brought against them by me or any member of my group or any outside agent on our behalf for any such injuries of claims.