Facility Request Form

Ways to Submit a Request:

Paper Forms: Can be turned into the church office and directed to the attention of Sharon Crites. Download a printable form.
Mailed Forms: To Sharon Crites 4130 Waterlick Rd. Forest, Va. 24551
Online Forms: Via the form below

Please fill out this form in its entirely, as the information you provide is vital for the processing of this request. Forms not filled out properly, could cause your request to be delayed. Assignments are first come, first served, yet may change due to group size, type of event, set-up times, etc.

PLEASE SUBMIT THIS FORM NO LATER THAN 1-2 WEEKS PRIOR TO YOUR EVENT and A MONTH PRIOR FOR WEDDINGS.
A reply receipt will be sent via email to you within two (2) business days. If you would like a copy of the form please print the form after you have completed it before you click on the submit button.

Step 1 of 4

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Name of Event*
Date of Event*
Contact Information
Today's Date:*
Name*
First Last
Email
Enter Email Confirm Email
Phone:
Name of Group/Ministry:*
Type of Event:*

Equipment Details
Requested Room (First Choice):*
Requested Room (Second Choice):
Is this event on or off site?
Do you require the use of audio/video equipment?*
Equipment Needed
- LCD Projector/flat screen (for a computer)
- Laptop Computer
- Sound System
- Microphones
- Microphone Stands
- DVD/VCR/TV
- Whiteboard
- Mic Cable
- Other
For clarity of what you might need for a certain event contact Peter at Soundman@lwbc.net ASAP. Also please note for weddings there is a required $50 fee ($75 for non LWBC church members) for a trained sound technician. (Please check requested items)
Other*
Do you need tables?
# of 6 ft. round tables:
# of 6 ft. rectangular tables:
# of 8 ft. rectangular tables:
Number of Chairs Needed:

Event Details
Is event recurring?*
Date or start date if recurring:*
Ending date, if recurring:
Pattern for recurring dates (i.e. 1st Monday, weekly, etc.):*
Start Time:*

: HH

MM
End Time:*

: HH

MM
Number of People Expected:*

Final Touches
We specifically ask:

• Be mindful of returning the room to the condition in which you found it (i.e. remove everything you brought in or put up).

• Room decor (poster, etc.) should not be taken down or rearranged.<

Please note the that all set-up and cleaning for non-church sponsored events will be the responsibility of the group using the facilities. There will be a $50 deposit for the use of the facilities charged at the discretion of the Pastor. This will not be refunded unless the room is in the same condition it was found in. The deposit will be used for cleaning and replacement of equipment only. ALL events must be approved before use of the facilities is granted.
I am a Living Word Church Member:
This a Living Word Ministry Request:
Comments:
Promotional Materials: Please do not post signs, posters, etc. for your event. Please drop your materials off at the Church Office for posting. Thank you.

For your records, please print out a copy of this form before submitting your request.
Name
This field is for validation purposes and should be left unchanged.

Facility Request Form

Ways to Submit a Request:

Step 1 of 4

Contact Information

Equipment Details

Event Details

Final Touches

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