Lodge Use Application

You may download an application as an editable document, or fill it out online. You must still print it out to get signatures of three responsible adults.

Temple Use Organization Request 2019 Download DOCX

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APPLICATION for USE of Unity Lodge No. 146 A.F. & A. M.

Organization Requesting Use

Order of Eastern Star Jobs Daughters Royal Arch Knights Templar

Organization Requesting Use

DeMolay Rainbow Assembly Unity Lodge

Organization Requesting Use

Other

PURPOSE for which Lodge will be used

Date of USE (MM/DD/YYYY)

Please review the calendar to see if the lodge has previously been reserved.
At least Three (3) Adults, 2 of which must be present for all Youth Organizations.

TIME of USE from

(Including Practice/Setup)

Person In Charge 1

Person In Charge 2

Person In Charge 3

Decorations Used(required)

Yes (Please Explain)

Decoration Explanation

Do not use nails, scotch tape, etc… which will damage the lodge.

Entertainment Provided(required)

Yes (Please Explain)

Entertainment Explanation

Unity Lodge takes pride in our facilities and we are happy to make them available to you. We have estimated that the operational cost for use of the Temple is $25.00 per hour with an average use of four hours per function. A donation to help defray the cost is greatly appreciated. (Please See Reverse)

The facilities will be inspected after each function and any violation of the guidelines furnished with this application may result in denial of any further use. The organization holding the function will be held responsible for any and all damages.

I/We have read the accompanying guidelines as set for for and my/our signatures/s on this application constitute/s agreement with this policy and knowledge thereof.

Signature 1

Signature 2

Signature 3

Date Signed 1 (MM/DD/YYYY)

Date Signed 2 (MM/DD/YYYY)

Date Signed 3 (MM/DD/YYYY)

Phone 1

Phone 2

Phone 3

Although the master of the lodge will be electronically notified that your request has been placed, you must print this form, have it signed by all responsible adult members, and turn it in before it can be approved.

TEMPLE Committee RULES/GUIDELINES Posted in LODGE and are available upon request.
APPLICATION for USE of Unity Lodge No. 146 A.F. & A. M.
FORM in USE for 2024 year as of 05/26/2024

APPLICATION for USE of Unity Lodge No. 146 A.F. & A. M.

Building Rules and Guidelines

NO ALCOHOL allowed in the building or on the grounds with the exception of approved events by both the Worshipful Master and the Methodical Digest.

Max capacity dining hall – 100 people
Max capacity lodge room – 100 people

Donations requested for Temple Use per following table for Temple Maintenance.
Checks must include in the comment line: DONATION FOR TEMPLE MAINTENANCE

Temple Use

Using facilities for any masonic use or purpose and not using kitchen – $100.00 for each occurrence Using facilities for any masonic use or purpose and using kitchen – $125.00 for each occurrence Using facilities for any non-masonic use or purpose and not using kitchen – $125.00 for each occurrence Using facilities for any non-masonic use or purpose and using kitchen – $150.00 for each occurrence

All functions must end at 12 midnight and facilities must be left clean. This includes but not limited to emptying trash in bathrooms, dining room and kitchen. Clean-up must be completed within two hours after function ends. If additional clean-up is required (waxing and/or buffing and/or trash removal), a clean-up fee of $100.00 will be required which is not included in the above guidelines.

NOTE: Appendant Bodies are responsible for providing all disposable supplies needed, except toiletries and trashcan liners, for their function and Unity Lodge supplies are not to be used without the Worshipful Master’s prior approval. Unity Lodge Supplies and Property (including but not limited to chairs, tables, ladders and other materials) must not be removed from Unity Lodge Premises without the Worshipful Master’s or Temple Committee Chairman’s prior approval and the Temple Committee Chairman notified.

All written requests for Temple use must be accompanied by a donation, for the prescribed function, per above schedule. Remember all donations are to be made by check, payable to Unity Lodge No. 146 and must include the comment line: DONATION FOR TEMPLE MAINTENANCE.

This form when complete should be sent to the lodge in one of the following ways:

master@unity146.org

Mail

Unity Lodge No. 146 A.F. & A.M.
Post Office Box 1855
Front Royal, Virginia 22630

Lodge Office

Delivered to the lodge office

Any questions should be directed to either the Worshipful Master, or the Temple Committee Chairman.

ALL FUNCTIONS MUST BE IN KEEPING WITH MASONIC IDEALS

Worshipful Master Date Approved (MM/DD/YYYY)

Worshipful Master Signature

Chairman Date Approved (MM/DD/YYYY)

Temple Committee Chairman Signature

APPLICATION for USE of Unity Lodge No. 146 A.F. & A. M.
FORM in USE for 2024 year as of 05/26/2024

APPLICATION for USE of Unity Lodge No. 146 A.F. & A. M.

Check List for Use of Unity Lodge No 146

This form is to be filled out and left at Unity Lodge when the event is over. You can leave it on the Kitchen Counter.

Name of Organization

Responsible Person

Date of Lodge use (MM/DD/YYYY)

Checklist Items

Sign register (print name) of who signs in and out when finished Make sure all doors are shut tight before leaving. Trash put out and new bags installed (including rest rooms) Be sure to unplug the coffee hot plate and be sure the switches on the bottom of the coffee pot are off. (DO NOT UNPLUG the MAIN COFFEE POT) Dishwasher door left open and disconnect off Check all rooms including the kitchen make sure they are cleaner than you found them Make sure the gas is turned off This completed form must be signed and slid under the office door at the end of your function.

Comments

I certify that all cleaning has been done.

Checklist Signed

APPLICATION for USE of Unity Lodge No. 146 A.F. & A. M.
FORM in USE for 2024 year as of 05/26/2024