SJCC Rental Request Form

SJCC Rental Request Form
Organization Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Non-Profit Organization?*

YesNo
If Non-Profit Organization, please provide your UBI or EIN number.*
Contact Person*

First NameLast Name
Current SJCC Member*

YesNo
Phone Number*

Area CodePhone Number
Email*
example@example.com
Date of Program*

MonthDayYear
Date
Start Time*

:HourMinutesAM/PM Option
End Time*

:HourMinutesAM/PM Option
By what time do you want the room set up? *

:HourMinutesAM/PM Option
What is the program frequency?*

One-time programRecurring program
If recurring, please list additional dates.
Number of participants (include expected audience count)*
Type of program*

MeetingSeminar/ClassPerformanceFundraiserRehearsalBirthday PartyOther
Tell us detailed information about your program. Please be as specific as possible.*
If you know which room you'd like to request, select it here.
Will food be served?*

YesNo
Will you need amplification/projection/specific lighting? (additional fees apply, requires AV technician on site)*

YesNo
Will you need kitchen access? (additional fees apply)*

YesNo
What type of tables would you like?*
For auditorium rentals, will you want the risers down? (theater-style seating for 350 people) Must have a minimum of 150 guests for riser usage*

YesNo
Additional information (will the renter be selling tickets for the event, will a profit be made from ticket sales, etc.)
Thank you for your rental request.

Please note: submitting this form does not guarantee your reservation. The SJCC Office Administrator will contact you for additional information and to finalize details and payment.

The SJCC, at its sole discretion, reserves the right to determine which rental requests it accepts based on several factors, which may or many not include the content being presented.
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