Facility Use—Reservation Form This form should be completed at least one month before the scheduled event. Today’s Date ____________________ Day and Date of the Event_______________________________ Request submitted by _________________________________________ Are you a FBC member? Yes No Please indicate the type of event below: Church-‐related (SS Fellowship, Youth, Men’s Ministry, etc.)
Non Church-‐related (Birthday party, Anniversary, Wedding, Reunion, etc.)
Sponsoring Ministry
Indicate Event
Person responsible for event
Person responsible for event
Contact phone
Contact phone
Staff Liaison’s Approval
ROC Minister Approval
Approximate number of persons attending___________ Total number of hours needed _______ Beginning date ___________ and time __________ of event. Ending date ___________ and time ___________ of event. Recurrence of activity: Check one One time only _____ Daily _____ Weekly _____ Monthly _____ Quarterly _____ Other _____ Date and time you need to be in the building for set-‐up _________________________________________________ The ROC is available for a maximum of three hours for set up prior to an event. Is this a calendaring change?
Yes
No If yes, what was the original date of the event?___________________
If this is a church-‐related event and you are requesting childcare, please complete a childcare request form. Equipment and resources requested—please check all that apply and specify quantity. Chairs ______ Tables ______ Room set-‐up requested
Yes
No
If yes, select set-‐up from the following:
Banquet-‐Round tables and chairs are spaced throughout the room, optimal for small group discussion and for meals. Concert/Lecture-‐chairs are placed in rows facing the stage.
Over
revised 6-‐4-‐2012
What area of the ROC will be used? Please check all that apply: Café ______ Gym ______ Stage ______ Game Room ______ Classrooms ______ Kitchen ______ Lounge ______ You are responsible for the care of our facility during your use, which includes cleaning and leaving it in the order you found it. Any damage to the building or equipment will be your financial responsibility.
Game Room, Gym, and General Areas Cost
Gym, Tables, Chairs, and Kitchen Use (Banquet style) Minimum of 150 to Reserve ROC for Banquet Member Non-‐member Member Non-‐member $20/hr $30/hr Cost $20/hr $30/hr
Custodial Fee $40
$40
Deposit
$50
$100
Table w/8 chairs $4/set
$4/set
Tables/Chairs $0.50 per chair, $100 minimum Custodial Fee $50 $50 Deposit $100 $200 Audio-‐visual technician $25/hr (minimum$50 charge) Audio-‐visual set up fee $25 Kitchen Personnel $25/hr (minimum$50 charge)
I have read and understand the facility reservation policies and agree to abide by them. The attached Waiver and Indemnity Agreement is part of this form and must be completed by the person and/or group making the reservation. Signature__________________________________________________Date_____________________________ Printed Name_______________________________________________________
Office Use Only Deposit amount paid _________________Ck # _____________________ Media Fee ________________ Total cost of reservation ______________ Ck#_____________________or amount of cash ___________ The deposit must be paid when the reservation form is completed and turned in to the recreation office. The usage fees must be paid one week prior to the scheduled event. Checks should be payable to: First Baptist Church-‐ROC, and turned in to the recreation office. Recreation Office Staff Initials _________ Approved by Minister of Recreation ________ The deposit will be returned within 10 business days after the event and may be pro-‐rated based on any damages or additional clean up required.
revised 6-‐4-‐2012