SJBA Building Reservation Form for Churches

Please fill out the following form.

Church Name:*
Address
Street Address Address Line 2 City State ZIP Code
Church Phone:*
Church Fax:
Church Email:
Enter Email Confirm Email
Contact Name:*
First Last
Contact Phone:*
Contact Email:*
Enter Email Confirm Email
Contact Mobile:
Event:*
Event Date:*
MM slash DD slash YYYY
Start Time: (include setup)*

: Hours

Minutes

AM/PM
End Time: (include cleanup)*

: Hours

Minutes

AM/PM
Room Arrangement Sketch Attached:*
Room Arrangement Sketch
Max. file size: 512 MB.
Room(s) Needed:*
Number Expected:*
Equipment Needed & Any Special Requests:
Building Use Policy Received & Read*
Signature Contact Name:*

Signature Note: To the best of my knowledge, this information is correct and the church reserving the building agrees to the building use policies as stated.
Name
This field is for validation purposes and should be left unchanged.