Reservation Request Form
Please fill out this form to request a room for an event
Email *
Date of event *
MM
/
DD
/
YYYY
Time of event *
Event Name *
Please describe event *
How many attendees? *
Name of Applicant
Applicant Phone Number *
Applicant Email *
Conditions of Use
Whenever any person or group applies for the rental or use of the facility or
portions thereof, the person making the application must agree to the following:

To be personally responsible for any damage caused to the building or
appurtenances thereof during the rental period.
Do you agree to the Conditions of Use *
Will you be serving alcohol at your event? We request to be informed of any alcoholic
consumption per Our Center’s insurance policy
 *
Eligibility
  • Our Center programs receive priority in space scheduling
  • LGBTQIA+ Community Groups and LGBTQIA+ Non-Profits are eligible for waived space fees
  • BIPOC Community Groups and Non-Profits are eligible for a waived space fee
  • Non LGBTQIA+ Community Groups and Non-Profits may reserve the space for a fee to be determined upon consultation with Our Center staff
Application Process
  • Applicants must complete this form at least one week in advance of the requested date
  • Reservation requests will be taken on a first come first serve basis. Our Center programs will fill the monthly calendar first, LGBTQIA+ events will be scheduled second, and community events without an LGBTQIA+ component will be scheduled third.
  • This application is to be completed by an individual 18 years of age or older, who will assume complete and primary responsibility for compliance with space rules during the rental.
Fees
Fees are based upon rental of facilities only and do not include any special preparations, set-up, or use of equipment, which is not ordinarily part of the facility.

  • Basic Fee: $75 for events that last 1-4 hours
  • Day Use Fee: $300 plus a $100 security deposit (security deposit refunded after event)
Cancellations/Refund
The rental fee for reservations canceled more than two (2) weeks from said reservation
will be refunded, but minus an administrative fee of $10.00. Reservations canceled less
than two (2) weeks from said reservation will be refunded at half the rental fee amount.
In both cases, Our Center will be available for future rentals after the
cancellation has been requested. Refunds are not available at the time of cancellation.
No refunds are given for inclement weather, unless approved by the Our
Center Board. In such cases, the Board may choose to refund all, part or none of the
reservation fee at their discretion.
Alcoholic Beverages
Intoxicating liquors or fermented malt beverages shall not be consumed upon
the premises after Our Center is closed. The sale of alcoholic beverages is
prohibited
Litter/Refuse
The applicant will be responsible for any and all damage to the Our Center
property or facilities. Any litter or refuse generated must be collected and disposed of in
appropriate trash receptacles or taken off site. Once the trash receptacle is full, all
other refuse must be taken off site. It is not acceptable to leave garbage or litter next to
or in an already filled receptacle. Our Center may assess a fee for damages or additional
cleaning if the area is not returned to original condition and reserves the right to deny
future applications if these condition are not complied with.
Please Indicate you have read and agree to all of the above.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Build Our Center, Inc..

Does this form look suspicious? Report

Google Forms