Facility Use Request

Terms Of Use SVLC Fees, Rules, and Regulations SVLC Utilities and Maintenance Fees * = Required Field * How often will this event occur? One Time Event        Weekly Event        Monthly Event        Yearly Event * When will this event occur or begin to occur? Month: Choose Month January February March April May June July August September October November December        Day: Choose Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28        Year: Choose Year 2012 2013 2014 2015 2016        Weekday: Choose Weekday Sunday Monday Tuesday Wednesday Thursday Friday Saturday        * What time will this event occur? Start Time: Choose Hour 1 2 3 4 5 6 7 8 9 10 11 12 Choose Minute 00 15 30 45 Choose AM/PM AM PM        End Time: Choose Hour 1 2 3 4 5 6 7 8 9 10 11 12 Choose Minute 00 15 30 45 Choose AM/PM AM PM        * Must include preparation time and tear-down time. * What is the name of the event? * Describe this event to us. Please be detailed. * What is your expected level of attendance? Choose Attendance Small (1-25) Medium (25-50) High (50-100) Very High (100+)        * Will there be a fee? Fee? Select Option No Yes        If Yes, how much?   $/adult                 If Yes, how much?   $/child (12 or younger)                 * If children are free, type FREE in the child field. Otherwise, please specify a price        * Will you be offering food to serve? Food? Select Option No Yes        If Yes, how will you need this service provided? Select Option Full Church Kitchen Partial Church Kitchen Catered Self-Brought                 If Church Kitchen, will you need staff of volunteers? Select Option No Yes                 If Church Kitchen, how many volunteers will you need? Select Option None 1-5 5-10 10+                 If Catered, who will you be using to cater?                 If Catered, what is their contact number? () -        * What room would you like to use? Eichle Hall        Sanctuary        SAC Room        Library        Class Room        Conference Room * Will you be serving or selling alcohol at this event? Serving? Select Option No Yes        Selling? Select Option No Yes        Served By? Select Option Hosted Party Catering Company 3rd Party        Sold By? Select Option Hosted Party Catering Company 3rd Party        Additional Notes: Note: Security personnel may be required at the discretion of the SVLC Property Committee. It is the responsibility of the requester to secure the necessary security personnel (bonded and insured) with the approval of the Property Committee. * Organization Information Name of Organization:        Business/Industry:        Type of Organization: Select Option Profit Non-Profit        Liability Insured: Select Option No Yes        Insurance Carrier:        Officer 1 First Name:        Title:    Example: CEO        Officer 1 Last Name:        Phone: () -        Officer 2 First Name:        Title:    Example: CEO        Officer 2 Last Name:        Phone: () -        * Your Information First Name        Active SVLC Member?: Select Option No Yes        Last Name:        Prefered Method of Contact: Select Option Phone (Work) Phone (Cell) Phone (Home) Email (Work) Email (Home)        Street Address:        Email Address (Work):        Suite:        Email Address (Home):        City:        Phone (Work): () -        State: Select Option Alabama Alaska Arizona Arkansas California Colorado Connecticuit Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. Wisconsin Wyoming        Phone (Cell): () -        Zip:        Phone (Home): () -        * Agreement I acknowledge that I have read and understand Shepherd Of The Valley Lutheran Church's rules and guidelines, and accept full responsibility for breakage, damage, clean-up, and any other liability incurred because of our event. By checking the box below, I have read the Terms Of Use page, as well as the PDF's below, and agree to all terms set forth. Terms Of Use SVLC Fees, Rules, and Regulations SVLC Utilities and Maintenance Fees I agree to the above terms: