LCC Building Use Request
Requestor Information
Name of group or individual requesting use
Phone
Email Address
Purpose / Nature of Event
Name and phone number of person responsible on site during event (if other than applicant):
Date and Time
Date requested:
Time entering building prior to event
Time departing building after event
Areas
Rooms/areas requested (check all being requested)
Furniture only (off site)
Lobby & restrooms
Main auditorium
Meeting room
Youth room/cafe
Nursery/toddler rooms (2)
Jr. Kids' Life playroom and auditorium
Jr. Kids' Life classrooms (5)
Kids' Life auditorium and small group rooms
Use of all children's wing areas
Other (specify)
Special set-up/furniture requests:
If main auditorium...also requesting?
Audio/Sound system:
Yes
No
Video projector use:
Yes
No
Lighting system:
Yes
No
Upper stage area:
Yes
No
Number of stand microphones
Number of wireless microphones
Furniture Only Requests (OFF SITE)
Furniture to be borrowed
Quantity
Furniture to be borrowed
Quantity
Furniture to be borrowed
Quantity
Furniture to be borrowed
Quantity
Furniture to be borrowed
Quantity
Pickup date:
Pickup time
Drop off date:
Drop off time
Confirmation
I understand
That all requests are handled on a priority system in which the regular happenings of LCC have priority over any other scheduled events
I must complete all steps listed on the facility request page of the LCC website before my event can be scheduled.
Fees, if any, must be paid before the use request is officially approved.
In general events are not booked more than 4 months in advance. If my event is more than 4 months from today, my request may be held until a later date.
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