Campus Access and Use Request This form is for Journey volunteer leaders to request access to the building for special work projects, missions and other volunteer team meetings and events, or activities that may occur outside of normal business hours. Please submit your request with a 72 hour advance notice for consideration. If you have any questions, you may contact the Journey office at 804-763-0231. 1 General Information2 Event Details3 Reservations Name* First Last Department/Team you Represent:*Phone:*Email:* Enter Email Confirm Email Event Title?*Purpose of Use?*Event Start Date* Date Format: MM slash DD slash YYYY Event End Date* Date Format: MM slash DD slash YYYY Event Start Time* : HH MM AM PM Event End Time* : HH MM AM PM Set-Up DateOnly fill this out if your event requires prior set-up. Date Format: MM slash DD slash YYYY Set-Up TimeOnly fill this out if your event requires prior set-up. : HH MM AM PM Does this event repeat?*NoDailyWeeklyMonthlyYearlyCustomWhen does this event stop repeating?*NeverOn a specific dateIt stops repeating on:* Date Format: MM slash DD slash YYYY Every week on:* Sunday Monday Tuesday Wednesday Thursday Friday Saturday When does this event stop repeating?*NeverOn a specific dateIt stops repeating on:* Date Format: MM slash DD slash YYYY On the:*FirstSecondThirdFourthLastDay of week:*SundayMondayTuesdayWednesdayThursdayFridaySaturdayWhen does this event stop repeating?*NeverOn a specific dateIt stops repeating on:* Date Format: MM slash DD slash YYYY Yearly event repeat details:*(Since dates fall on different days each year, please describe the details of this event repeating. I.E. Same date? Same day?)When does this event stop repeating?*NeverOn a specific dateIt stops repeating on:* Date Format: MM slash DD slash YYYY Custom repeat details:*(Please provide details about this event repeating)When does this event stop repeating?*NeverOn a specific dateIt stops repeating on:* Date Format: MM slash DD slash YYYY Click map to enlargeWhich room(s) or area(s) are you reserving?*(Select all that apply) N/A Entire building Auditorium Connections Groups 1 Groups 2 Groups 3 Groups 4 Lobby Multi-Purpose Space Production HQ P1 P2 P3 Room 100 Room 101 Room 102 Room 103 Room 104 Room 105 Room 106 Room 107 Room 108 Room 109 Room 110 Room 111 Room 112 Room 113 Servery Unfinished Space Volunteer HQ Warehouse Waumba Land Large Group What equipment and/or services do you need?Check all that apply Audio, Video and/or Lighting Custodial Audio/Video/Lighting Needs:*Please be detailed: (Examples: Microphones, sound, contracted sound person, video recording, photographer, etc.)Custodial Needs:*Please be detailed: (Examples: # of Tables, # of chairs, clean-up, unlocking/locking building, etc.)EmailThis field is for validation purposes and should be left unchanged.