This Form is only for USSB Members requesting a Room to Reserve. Thank you.
If this Request is for a Personal Event or for an event for an organization you are working with, please use the non-Member, regular Room Use Request Form.) (required)
Event Title (required) (This will appear on our Schedule.)
Brief Event Description (required)
Contact First Name (required)
Contact Last Name (required)
Your Email Address (required)
Will your event take place on a Single Day?
What is the Date of your Single Day Event? (m/d/yyyy)
If your Event will take place over Multiple Days, please enter the First Date and Last Date below:
First Day of Use?
Last Day of Use?
About how many people are you expecting will attend?
Describe the Frequency of your Event: (2nd Thursday of the month; Every other Monday; OR the exact dates if there is NOT a pattern of ongoing dates.)
Time of Day You Need the Room (To begin setting up):
Select a Time7:00am7:30am8:00am8:30am9:00am9:30am10:00am10:30am11:00am11:30am12:00pm12:30pm1:00pm1:30pm2:00pm2:30pm3:00pm3:30pm4:00pm4:30pm5:00pm5:30pm6:00pm6:30pm7:00pm7:30pm8:00pm8:30pm9:00pm
Time of Day Your Event Will Begin:
Time Your Event Will End
Select a Time8:00am8:30am9:00am9:30am10:00am10:30am11:00am11:30am12:00pm12:30pm1:00pm1:30pm2:00pm2:30pm3:00pm3:30pm4:00pm4:30pm5:00pm5:30pm6:00pm6:30pm7:00pm7:30pm8:00pm8:30pm9:00pm9:30pm10:00pm
Time You Will Leave the Room
Which of our room(s) do you want to rent? (see list below; hold CTRL + Click to select multiple rooms)
Sanctuary (Capacity 285)Parish Hall (Capacity 110-130)Parish Courtyard (Capacity 200)Kitchen (Capacity 12)Jefferson Hall (Capacity 80)Jefferson Courtyard (Capacity 100)La Paz Lounge (Capacity 20)Blake Lounge (Capacity 28)Blake Meeting Room (Capacity 12)Classroom A, B, C or D (Capacity 15)
Alcohol Being Served?
Food and/or Non-Alcoholic Beverages Being Served?
If you answered YES to either Alcohol OR Food being served, please provide details here:
IF YES - Source of Your Video (DVD, Laptop, other)
Sound System Needed?
IF YES - Source of Sound (DVD, Laptop, Cell Phone, other)
Do you need to have a USSB Staff member available to:
—Please choose an option—None RequiredBe on hand during eventAssist with setup and breakdown
(USSB requires some events to be Staffed. You will be notified if this is the case before entering into a rental agreement.)
Might your Room Use impact other Room Users or the Church's residential neighbors? (Will you have amplified music, be showing a film, have people coming and going frequently, conducting a drum circle, etc.?) Please let us know of any activity that might "go beyond your room". Thank you very much.)
If Yes, please explain:
Setup Instructions, Special Requests, Comments or Questions.
ALSO PLEASE NOTE!! Parish Hall and Jefferson Hall are NOT setup with tables and chairs. You can do the setup and take-down yourself, or assistance can be provided for a fee. Please provide any details you believe are necessary for the room to meet your expectations. Thank you.
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