SJBA Building Reservation Form for Individuals

Please fill out the following form.

Name:*
Address
Street Address Address Line 2 City State ZIP Code
Phone:*
Email:
Enter Email Confirm Email
Mobile:
Member of Cooperating Church:*
Name, City of Cooperating Church*
Reservation Approved by Cooperating Church*
Name and title of person giving approval*
Event:*
Event Date:*
MM slash DD slash YYYY
Day of week:*
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:*
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. Note: No glitter products and no Sunday events.
Email
This field is for validation purposes and should be left unchanged.