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SVBC Facility/Event Use/Needs Request Form
Please complete form at least 2 weeks in advance of date requested as to confirm reservation. (4 weeks for large events)
Group/Individual requesting use/Event Title *
Your answer
Address: *
Your answer
Phone Number: *
Your answer
Email Address: *
Your answer
Date requesting: *
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If event is recurring, give start and end dates:
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Time of day (Begin and End times) *
Your answer
Set-up Date/Time (If advance set-up is needed)
Your answer
Building Access *
Facilities Needed (Please Check all that apply) *
Required
Other Facilities Needs Info
Your answer
Equipment Needed (Check all that apply) *
Required
Please include a description of any special sound/video needs or requirements
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USE GUIDELINES
Submission of this form indicates acceptance of all applicable fees and guidelines
Please explain/describe the activity to be held: *
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Estimated number of people involved: *
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Reservation Guideline Agreement:
The person/organization requesting the use of Church facilities hereby absolves the church, its pastors, leadership, members, or people of any liability for personal injury to any individual resulting from the use of the church facilities and agrees to be responsible for any property damage that results during the use of the facilities. Please report any damage to the church office promptly.

The group or individual using the facility is responsible for set up, clean up, and return to normal set up of the facility. (See “Responsibilities after Building Use & Kitchen Etiquette”)

Electronic Signature (Enter your name & date below) *
Your answer
Date *
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YYYY
Responsibilities After Building Use
Please note that it is the responsibility of the group or individual using the facility to set up, clean up and return the facility to normal setup after the approved event or activity.

1. Collect all garbage into bags and bring it out to the dumpster located Northwest of the Education Building.
2. Wipe off tables. If food or drink is involved, wipe all tables clean using a mild soap and water solution. If stains occur
please notify office so correct cleaning solutions can be used to remove stains.
3. Return all tables, chairs, easels, and other equipment to their proper places after your event. Return all rooms used to
their normal set up.
4. If using the kitchen, please wash and dry all dishes used and return them to the correct cupboard. Take all extra food
and beverage with you unless specific plans for usage have been made. Wipe counters and leave kitchen clean and
ready for the next use.
5. Sweep floors and mop as needed. Report any damage to equipment or property promptly to the office.
6. Remove any items put up on the walls or set out in connection with your event.
7. If the building is not in use when finished, please check that all doors are locked, windows are closed, and lights are
off. Reset thermostat to 78°then lock up. (Set the alarm if you are the last person leaving.)

*Washcloths, towels, a broom, a dustpan, etc. are located in the kitchen. Please return these to the kitchen when you are done using them. Used towels and washcloths can be left in the kitchen. They will be picked up and washed regularly.

Kitchen Etiquette
1. Check with church office for availability of date desired.
2. There could be more than one activity that uses the kitchen in the same week. Therefore, we request that you check
with the church office before you bring your supplies to the kitchen.
3. Please return items to designated cupboards. Cupboards are labeled for your convenience.
4. Please take home all food and beverage items. We have limited space to store these in our one refrigerator.
5. Clean-up: Please do all dishes, put them away, wipe counter tops and stove, clean sink and sweep floor if needed.
Leave used dish cloths and towels in the sink. They will be picked up and laundered. Trash: Trash should be put in
garbage cans and tied. Dispose of bags in the dumpster located Northwest of the Education Building.

Thank You for your co-operation. Help us with these guidelines. This will allow us to better serve the needs of everyone who uses the kitchen. If you have any questions, you may contact the church office.

Please name and phone number for event coordinator and some helpers for event: *
Your answer
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