The Well Church Facility Reservation Form
You will receive email confirmation after your request is complete. If you have any questions/concerns, please contact Jenn Jones at (585) 454-9974 or thewellroc@gmail.com. Thank you!
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Full Name *
Email Address *
Phone Number *
Preferred contact method *
Required
I am requesting to reserve the: *
Start Date *
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End Date *
MM
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DD
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YYYY
Time of arrival *
Time
:
Time of Departure *
Time
:
Reason for Event or Overnight Stay- *
Who referred you? *
Terms of Agreement- Please read and answer question below.
-All requests must be made at least one week in advance.

For Overnight stay in the Ministry House-
-Please treat the house with respect, as you would your own home. This is a shared space.
-One gender only may stay, unless married/family.
-There is a maximum stay of 5 days.
-During your stay: please be mindful of our neighbors with quiet hours starting at 10pm. No parties allowed! If any issues arise, please call Pastor Charles at (585)-943-6937
-When departing: please take linens off the bed and take garbage out. Remove all food, load dishwasher, set thermostat back to 60, turn all lights off, leave spare keys on front table, and lock door on your way out.

I have read over the policy above, and by checking this box, I am in agreement with these terms. *
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