UCA Facilities Request Form
Please complete this form if you are interested in the rental of UCA facilities for your event.
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Name of Organization
Contact Name and Number
Date and Time Requested
Please tell us more about your event. Which UCA facility are you requesting? What type of event are you planning and what will you need from UCA?
Expected Number in Attendance *
To rent UCA facilities, outside groups must furnish a certificate of insurance for general liability coverage with total limit coverage of $1 million for each claim made.  Uwharrie Charter Academy should be listed as additional insured. Do you have insurance coverage? *
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