Room Reservation
Request Form
Event: ______
Date:______Time:______
Number of Guests: ______
Applicant Name:
______
Address: ______
______
Representing Company/Group:
______
Cell Phone #______
Home # ______
Work # ______
Email #1:______
Email #2:______
ROOM RENTAL FEES (Fees effective 12/2/14-6/30/15)
Pope John Paul II Parish Center (JPII) [Capacity 304]
( ) JPII Center Sustaining Parishioner Fee $1,000*
( ) JPII Center Non-Sustaining Parishioner Fee $1,500
( ) JPII Center after Baptism, Communion, Confirmation $350
( ) Kitchen Warming Fee $100
( ) Kitchen Cooking Fee $250
( ) JPII Center Security Deposit (refundable) $500
( ) Non-refundable Booking Fee $250
*Sustaining parishioner contributes $520+ per year
St. James Pavilion (St. JP)
[Capacity 40]
( ) St. James Pavilion Sustaining Parishioner $300*
( ) St. James Pavilion Non- Sustaining Parishioner $600
( ) St. James after Baptism, Communion or Confirmation $150
( ) St. James Security Deposit (refundable) $250
( ) St. James Pavilion PLUS Patio (additional $50)
( ) Non-refundable Booking Fee $100
* Sustaining parishioner contributes $520+ per year
Meeting Rooms Available for Rent [Capacity 22]
( ) Fr. McGivney Room/Knights $100
( ) St. Anthony $100
( ) St. Catherine $100
( ) St. Michael $100
( ) St. Elizabeth $100
( ) Non-refundable booking fee $75
ROOM SET-UP
( ) DINNER ( ) LECTURE
( ) Number of Round Tables (60 inch round) ______
( ) Number of Rectangular Tables ______
( ) Food Service Tables ______
( ) Dessert Table ( ) Display Table ( )Sign-In Table
( ) Stage for rent (4 x 6 $35.00 each panel)
of panels ______
( ) Space for Dance Floor (Not provided by Ascension)
(Spacing dimension______)
Who will open/close hall for event:
______
Room keys can only be assigned to Parishioners.
( ) Additional fee for staff to open/close $______
AUDIO VISUAL EQUIPMENT*
*Requirement to come in before event for instructions and usage of equipment and/ or lighting.
( ) Laptop Plug In/Floor Jack
( ) Additional Microphone $50 (1st microphone/no charge)
( ) Large Screens (no charge if used w/laptop)
( ) TV ( ) DVD ( ) Music/CD/DVD
( ) Podium
( ) DJ/Band (Not provided by Ascension)
( ) JPII Center AV Tech** Fee @ $50 per hour $ ______** Tech is required if anything in AV Closet /Equipment is used
CATERER INFORMATION
( ) Caterer Name and Phone ______
______
( ) Reception Start/End Time______
( ) Set Up Time: ______
Additional Set-Up Requests: ______
______
RECEIPT & FEE SCHEDULE FEE SCHEDULE
Room Fee $______
Security Deposit $ ______
(Refundable if warranted)
Additional Fees $ ______
$ ______
$ ______
Insurance Fee $ ______50.00______
SUB TOTAL $ ______
Booking Fee (Non-Refundable) $ ______
Amount Due $______
DATE PAID: ______
(Attach copies of check)
AMOUNT BALANCE DUE $ ______
BAL DUE DATE: ______
SECURITY DEPOSIT RETURNED ( Y / N )
DATE RETURNED $ ______
Inspection after event conducted by:
______
Security Deposit: ______
(_____) Refunded, Date ______
(_____) Not Refunded
Reason______
______
OTHER
If applicable, permits required:
Alcohol (_____) Gaming (_____)
Copies Received ( ) Date ______
Ascension Staff Member
______
Date: ______
ASCENSION FACILITIES USE AGREEMENT & DISCLOSURE
I,______
(Please print name)
Representing______
(Please print organization)
I/we have read and understand the Facilities Policies and Procedures manual for Ascension Parish’s Facilities. We will abide by all the policies required of individuals and/or groups using the parish facilities. We will indemnify and hold harmless Ascension Parish, the Diocese of San Diego, and their agents and employees for any and all claims, actions, damages, liabilities, and expenses, including attorney’s fees, resulting from our use of the facilities.
We have provided the required insurance documents with the application for use of the facilities. We understand any required security deposit will be refunded only after Ascension personnel have completed a walk-through inspection and no damage, loss, or extraordinary wear and tear has been discovered.
Security deposit, associated fees, and insurance certificate (or insurance application) are due at least 90 days prior to the event. A date/time can be held for between one year and 90 days prior to the event with the payment of a nonrefundable booking fee. Failure to pay the balance of the fees and security deposit 90 days prior to the event will result in forfeiture of the reservation and booking fee. For events scheduled less than 90 days before the event, the full amount of fees and security deposit must be paid when the reservation is made.
Fees above may include $50 insurance, which will be deducted if organization provides proof of insurance as described in the Facilities Use policy. Fees above for the Pope John Paul II Center include a non-refundable booking fee of $250. Fees above for St. James Pavilion include a non-refundable booking fee of $100. The required security deposit will be refunded only after Ascension personnel have completed a walk-through inspection and no damage, loss, or extraordinary wear and tear has been discovered.
Signature of Applicant Date
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