Facility Request 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 25% Name of Event* Date of Event* Contact InformationToday's Date:* Name* First Last Email Enter Email Confirm Email Phone:Name of Group/Ministry:*Type of Event:* Equipment DetailsRequested Room (First Choice):*Requested Room (Second Choice):Is this event on or off site?On SiteOff SiteDo you require the use of audio/video equipment?*YesNoEquipment 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 email@example.com 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?YesNo# of 6 ft. round tables:# of 6 ft. rectangular tables:# of 8 ft. rectangular tables:Number of Chairs Needed: Event DetailsIs event recurring?*NoYesDate or start date if recurring:* Ending date, if recurring: Pattern for recurring dates (i.e. 1st Monday, weekly, etc.):*Start Time:* : HH MM AM PM End Time:* : HH MM 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:YesNoThis a Living Word Ministry Request:YesNoComments: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. NameThis field is for validation purposes and should be left unchanged.