Jacob's Well Room/Facility Reservation Form

Date Submitted

Event Description

Contact Person

This address will receive a confirmation email

Phone

Date(s) of the event(s)

Organization or group

If your request is to use our facility for a wedding, please list the officiant's name and phone number.

Number of people attending

Will you require a space for childcare?

Yes No

If yes, please indicate how many children you are anticipating.

Time Event Begins

Time Event Ends

Time Set Up Begins

Time Clean Up Ends

I understand that if my event is on a Saturday, the church must be cleaned and ready for Sunday morning worship.

Yes

If you require our Facilities Manager to clean after your event, the cleaning fee is $20/hour. Their availability and an estimate will be given to you prior to your event. Payment Fees are not applicable for church-sponsored events. Payment must be paid (in cash) at the church office at least one week prior to the event.

I acknowledge the payment requirements.

Room recommendations will be provided to you based on the nature of your event and the number attending.

I understand.

Room set up:

I am able to set up the room(s) myself. Please have Facilities Manager set up the room(s).

If the Facilities Manager will be setting up the rooms, do you have a seating preference:

Theater Round tables Double horseshoe Classroom Conference Horseshoe

Click here for seating chart ideas

Equipment

Please indicate quantities of equipment needed or any other items you will need for this event:

Will you need a sound/video person? (required for weddings)

Yes No Not sure

Fee for sound/video person is $100 and must be paid (in cash) at the church office at least one week prior to your event

I acknowledge this fee. Not applicable.

If snow plowing is required for your event, there will be an additional $475 fee. We ask that you use the shovel next to the front doors to shovel the sidewalks.

I acknowledge the fee if snow plowing is necessary for my event. Not applicable.

Special Requests:

NOTE: White cloth table cloths, kitchen utensils and glass water carafes are available for you to use at your event at no cost. Please wash, press and return the table clothes within 1 week of your event. Damaged tablecloths should be replaced at your expense. Please wash, dry and return all utensils to appropriate storage after event.

Will you be providing alcohol at this event? (request will be brought before the Elders for approval)

Yes No

Will you be using candles at this event?

Yes No

I have read the Jacob's Well Building Policy and Cleaning and Closing Down Check list and agree to comply completely with it.

Yes

Reservation requests are reviewed by staff and must be approved. Priority will be given to ministry events.

Jacob's Well Room/Facility Reservation Form

Description

Please Fix the Following