Facility Request

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

Name of Event*
Date of Event*
MM slash DD slash YYYY
Contact Information
Today's Date:*
MM slash DD slash YYYY
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 Andrew at andrew@lwbc.net ASAP. Also please note for weddings there is a required $100 fee 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:*
MM slash DD slash YYYY
Ending date, if recurring:
MM slash DD slash YYYY
Pattern for recurring dates (i.e. 1st Monday, weekly, etc.):*
Start Time:*

:

AM/PM
End Time:*

:

AM/PM
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.
Email
This field is for validation purposes and should be left unchanged.

Facility Request

Facility Request

Step 1 of 4

Contact Information

Equipment Details

Event Details

Final Touches