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Facility Use Agreement Form
Facility Use Agreement Form
Before filling out the form, please read our
Facility Use Guidelines
.
* Person Reserving Facility
* Group Requesting Facility
* Address
* City
* State
* Zip Code
* Phone
* Email
* Date(s) Needed
* Starting Time
* Ending Time
* Expected Attendance
* Describe Meeting
* Room(s) Requested (hold down ctrl key for multiple selections)
West Building - Auditorium
West Building - Fellowship Hall
West Building - Kitchen
West Building - Student Ministries
West Building - Room 1 - Classroom
West Building - Room 2 - Classroom
West Building - Room 3 - Classroom
West Building - Room 4 - Classroom
West Building - Room 5 - Classroom
West Building - Room 6 - Classroom
West Building - Parking Lot
East Building - Fellowship Hall
East Building - Kitchen
East Building - Auditorium
East Building - Room 102
East Building - Room 104
East Building - Room 106
East Building - Room 108
East Building - Room 110
East Building - Room 112
East Building - Room 402
East Building - Room 404
East Building - Room 406
East Building - Room 408
East Building - Room 200
East Building - Game Room
East Building - Kingdom Kids Room
East Building - Green Room
East Building - Parking Lot
IIf requesting to use the Auditorium, Fellowship Hall, Kingdom Kids 1 or Game Room, or the Students Ministries Room, please answer the following questions if you are planning on:
Using the sound system?
NO
YES
Using wireless microphone(s)?
NO
YES
If so, how many?
Using the multimedia/projector screens?
NO
YES
Type of multimedia?
Using the video camera to record to DVD?
NO
YES
Using LCF's video camera?
NO
YES
Using the platform?
NO
YES
What changes in the platform setup are needed?
Special Needs
* Sound/Video Tech.
NO
YES
Only LCF approved sound/video techs can use the system and extra charges may be incurred
* Internet Connectivity
NO
YES
* Building Key
NO
YES
(...If so, please specify)
Other (please specify)
* Will children be at the activity?
NO
YES
Ages of Children
What provisions are made for children?
* I have read and agree to the Facility Use Guidelines listed above.
* I understand that there may be a building use charge
Questions/Comments
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