Simple Room Rental Agreement


Almost All Fields are Required

Your Group or Organization's Name (required)

Is your Organization a Non-Profit Organization? (Please Note: To be eligible to receive our Non-Profit rates, you will need to submit a copy of your IRS Determination Letter.)

Event Title (required)

Brief Event Description (required)
(This description only helps with the booking of your event and does NOT appear in any USSB Publications.

Contact First Name (required)

Contact Last Name (required)

Phone Number

Your Email Address (required)

What is the Date of your Meeting? (m/d/yyyy)

Time of Day You Need the Room:

Time You Will Leave the Room:

Which of our rooms do you want to rent?

About How Many People are you expecting will attend your event?

RENTAL FEE IS DUE NOW - IN FULL. (Please use our online payment system, found by clicking the red Weddings & Rooms Menu above.)

Agreed upon Rental Fee Amount is: $

Comments or Questions

TABLES & CHAIRS: If you are renting either Jefferson Hall or Parish Hall, both rooms have tables and chairs available within the rooms. You may use these items, but they must be put back where you found them. Thank you.

RESTROOM USAGE: If your group needs to access the restroom near Jefferson Hall or La Paz Lounge, please go to for the current combination to that locked door. Parish Hall, Blake Lounge and the Classrooms have open access to restrooms.

TRASH: At the end of your event, if the trash and/or recycling cans are more than half full, please empty those containers in our dumpsters which are located behind our main building, off of Arrellaga Street. Thank you.


By inputting my initials and checking the checkbox below, I hereby state that I will read and abide by the USSB Room Use Guidelines (found at including leaving the room as found, and emptying your trash in the large bins behind our main building. I also understand that if I fail to return a key to USSB, I will be responsible to pay a $50.00 fee.

I further understand that I am financially responsible for any damage caused by my use of USSB's room, and/or any excessive cleaning that might be required after my use of the room. Lastly, I am aware that if I cancel at least 30 days in advance of my room use, I will receive a full refund, but canceling within 30 days of my event results in the forfeiture of any fees I have paid.

I Agree with the above terms and conditions: (Required)

I Agree

Input your Initials in the box below (Required)