COVID-19 ERA FACILITY USE BY CHURCH MEMBERS AND SPONSORED GROUPS

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Church Members and Church Sponsored Groups must follow all current guidelines, requirements, and/or ordinances of the Centers for Disease Control and Prevention (CDC), Commonwealth of Virginia, City of Charlottesville, Virginia Annual Conference of the United Methodist Church and First United Methodist Church Charlottesville (FUMC) during the COVID 19 pandemic and until further notice. FUMC places highest priority on the safety of its members, guests, and staff, as well as members of the Charlottesville / Albemarle community at large.

Please use this form to request the use of a room in the church. The church office and/or members of the Healthy Church Team (HCT) will review your request, keep you updated on the status of your request, and share the necessary information with church staff, HCT members, or others (as needed).

Room assignments will be based on room availability and the size of the group. The assignment will be recorded on the church calendar, which is viewable on the church website (https://cvillefirstumc.org/).

The Church Office will contact you to confirm and provide some additional information about your reservation. If you do not hear from the Church Office then your reservation is not finalized.

Please contact the church office at churchoffice@cvillefirstumc.org or at (434) 296-6193 with any questions about this form or any changes to your reservation.

Please check each box to verify that you have read and understood the rules for meetings and activities at First United Methodist Church: *

Gatherings will include no more than 50 persons (100 persons if outdoors) with 6-foot social distancing between all persons (excepting those who are in household groups).

Face coverings over the nose and mouth are required for all persons except those for whom it would pose a substantial mental or physical health, safety, or security risk. For this exception to apply, the person must present a valid, dated document signed by a licensed physician or other licensed or certified health care provider. (Face coverings are not required during eating or drinking.)

An entryway "Health Acknowledgement Poster" will be printed by the church and posted at the Welcome Center entryway. Persons entering the church must read the poster, acknowledge that they can affirm ‘yes’ to all of the statements on it to a volunteer of the group posted at the door, and provide their name and contact information, which the volunteer will record and the church will keep securely for possible future health department contact tracing (you will be sent this form when your reservation is confirmed). Persons who cannot affirm ‘yes’ to all the statements on the poster will not be able to enter.

It is the responsibility of the primary contact/event leader to communicate with the First UMC Church Office should any group member have an exposure or develop symptoms of COVID-19 within 14 days of the meeting.

Required

Please check each box to verify that you have read and understood the room cleaning/sanitizing procedures for First United Methodist Church: *

Hand sanitizing stations will be present at the Welcome Center and elevator entrances; however, individuals also need to bring their own personal hand sanitizer.

Cleaning and sanitizing of meeting rooms and restrooms will be regularly performed by FUMC- employed custodians using generally accepted practices and supplies.

The church will provide disinfecting wipes and/or sprays in those restrooms available for general use.

Because a meeting room may be used by more than one group between cleanings by the FUMC custodians, all groups will be advised during the room reservation process to bring their own sanitizing/disinfectant wipes/spray to sanitize the contact surfaces in the room before they meet.

Required

Name of Group: *

Number of People Attending the Meeting/Event: *

Name of Primary Contact for this Room Reservation: *

Phone Number: *

Email Address: *

Date of the Meeting/Event: *

YYYY

Time Frame for the Event: *

Name, Phone Number, & Email of the person (if different from the Primary Contact) who will be responsible for seeing that the group follows the guidelines and rules set out by FUMC:

Room(s) being requested for use: *

Sanctuary

Chapel

Fellowship Hall

A Bible Study Room (208, 308, or something similar) - for about 10-15 people

Required

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