Facility Usage Request

PLEASE NOTE: SHBC reserves the right to close the facility when weather conditions cause the parking lot and walkways to be unsafe during non-business and Worship hours. Please check the website to determine if the facility has been closed due to weather conditions.

I am a *

SHBC Staff Member SHBC Ministry Leader SHBC Member/Attender

Person Responsible *

First Name Last Name

Phone Number *

Your Email Address *

example@example.com

Will a Staff Member be Present? *

Yes No

Staff Member's Name

First Name Last Name

Planned Event *

Ministry Involved *

If other, please specify

Date Needed (1st Choice) *

Date

Date Needed (2nd Choice)

Date

Event Start Time *

: Hour Minutes AM/PM Option

Event End Time *

: Hour Minutes AM/PM Option

Set Up Start Time *

: Hour Minutes AM/PM Option

Clean Up End Time *

: Hour Minutes AM/PM Option

Does this Event Recur? *

Weekly Monthly Does Not Recur

How many times does your event recur including the Start Date?

Re-occurrence End Date

Date

Please explain in detail how you would like the room to be set up.
The church is ONLY responsible to set up for Church Ministry Events. The church will assist with the set up for your event, if staff members are available.
Once approved, a staff member will contact you concerning your requested plan or an alternative set up plan if needed.

Room Requested (1st Choice) *

Fireside Room Fireside Room Kitchen**(authorized user MUST attend Safe Serve Training or be trained by SHBC representative) Gathering Area ** (already comes with tables and chairs. Special set up NOT available) Playland Worship Center Main Kitchen**(authorized user MUST attend Safe Serve Training or be trained by SHBC representative) Great Room (upstairs)

Room Requested (2nd Choice) *

Fireside Room Fireside Room Kitchen**(authorized user MUST attend Safe Serve Training or be trained by SHBC representative) Gathering Area ** (already comes with tables and chairs. Special set up NOT available) Playland Worship Center Main Kitchen**(authorized user MUST attend Safe Serve Training or be trained by SHBC representative) Great Room (upstairs)

Number Expected to Attend *

Total Number of Chairs Needed *

Tables Needed: ( Gathering Area already comes with tables and chairs. Special set up NOT available) *

3 x 6 ft Long Tables (seats 8 people)- 4 available 3 x 8 ft Long Tables (seats 6 people) - 20 available 4 ft Round Tables (seats 4 people) - 8 available 5 ft Round Tables (seats 6 people) - 11 available No Tables Required

Number of 3 x 8 ft Long Tables (seats 8 people)

Number of 3 x 6 ft Long Tables (seats 6 people

Number of 5 ft Round Tables (seats 8 people)

Number of 4 ft Round Tables (seats 5 people)

Equipment Needed: *

Audio (additional training required if in the Worship Center or the Fireside Room) Visual (additional training required if in the Worship Center or the Fireside Room) No Equipment Needed

Additional Information or Comments

The care of children from birth to kindergarten is provided free of charge during each of our Weekend Congregational Worship Services. This will be referred to as "Preschool Childcare" and shall be supervised by SHBC Trained Staff and Volunteers in our designated Preschool Dept.
The care of children from birth to grades 6 outside of our Weekend Congregational Worship Services will be referred to as "Childcare" and shall be supervised by SHBC Trained Staff and Volunteers in any one of several locations. The location[s] shall be predetermined and it is provided free of charge during the following days and times:

> Sun., 6-8 pm
> Mon., 6-9 pm
> Tue., 6-9 pm
> Wed., 6-8 pm
If these days and time options DO NOT meet need of a ministry, then additional days/times may be arranged at the SHBC Ministry's Financial expense. Whereby a minimum of $44 per event will be charged [two workers at two hours], with further fees assessed as more room and hour needs increase.
If additional days/times are necessary, we ask that the following steps be performed:
a) Complete an "Event Childcare Form" from the SHBC website three weeks prior to your event.
b) Receive an SHBC Department approval via email or phone.
Once approval has been granted, paid workers for childcare will be allocated.

I have read the Childcare Policy *

Yes No

Electronic Signature *

Clear

Worship Center Rental Fee $250

Fireside Room Rental Fee $100

PlayLand/Gathering Area $50

I have read the SHBC Facility Usage Policy and agree to the guidelines set forth

*

Yes No

I have read and agree to the "Liability Disclosure" section of this agreement *

Yes No

Electronic Signature *

Clear

Facility Usage Request

EVENT DETAILS

REQUESTED ROOM SET UP

CHILDCARE POLICY

EVENT FEES