Facility Request (Community) Name of Event: Contact Name: Group/ Ministry Team: Contact Phone Number: Contact Email: Event Date: Start Time: End Time: Additional Time to Set-up/ Decorate: Number of people attending: Facility Use Policy I have read the Facility and Property Use Policy and agree to the terms. Space Requested – After space is confirmed, you are responsible for contactingng the Facilites Manager – Jon Koppe, jon@stjohns-salisbury.org - regarding space set-up and responsibilites. Classrooms (Adult Hallway) 212 213 (Apple TV Equipped) 214 215 216 (Small Group Room) (Apple TV Equipped) 218 (Conference Room) (Apple TV Equipped) Music Department Youth Rehearsal Room Choir Rehearsal Room Concert Space Large Meeting Spaces Peeler Hall (Kitchen) Faith Center PIT (Kitchen) (Apple TV Equipped) ARK (Kitchen) FUEL Room WELL Room (Apple TV Equipped) Ritchie Hall (Kitchen) Goodman Dining Room Community Ministry Center Small Classroom Space Large Classroom Space Children's Spaces 121 124 114 115 Sanctuary Nursery Faith Center Nursery Outdoor Meeting Spaces Whitton Terrace The Green Playground/Courtyard Other Retreat Property Upper Room Additional Parking Lot Please remember that matching space to need and not request is essential to the stewardship of our building. All reservations will be reviewed by staff and confirmed through the facility request form procedure. The office must be notified 48 hours prior to event of any changes or cancellations. Description of the Event:# of tables needed: # of serving tables needed Podium Yes No Classroom Spaces (212 to 216) are available in the Adult Education along with all meeting spaces in the Community Ministry Center. There is no fee for use of these spaces. All other spaces on-campus, including the Retreat Property, will require a $50 non-refundable deposit. Deposit is required to hold space reservation. For events with under 75 people, the fee is an additional $50. For events with over 75 people, the fee is an additional $100. If you are making use of the whole facility the cleaning fee is $200 in addition to the deposit.Total fee for space requested: # of keys needed Groups can be given up to two keys. There is a $25/per key for lost or unreturned keys. Keys are to be returned within five days a"er the event.PA Operator Yes No Total hours PA Operator needed: AV equipment in the Faith Center and Sanctuary must be run by a trained St. John’s operator. Cost for the PA Operator is $40/hour with a 2-hour minimum including consultation and set-up.Coffee and Supplies needed: Yes No We can make coffee available for your event. The cost is $25 for every 100 people. This includes coffee, cups, lids, sleeves, sugars and creamers.Signature: Δ