EmailMe Form - LCC Facility & Promo Form

Give us wording/phrases that you would like to use in the advertising/promoting (website, enews, newsstand cards, posters) of your event or class.

Use descriptive statements to clearly communicate the content/purpose of your event/class/group. Please do not include questions in your description. Wording and description layout submitted for the LCC website may be altered for the sake of consistency and overall user experience. *

If you have an image you would like used in the advertisement of your event/group, please share it with us as a jpeg.

Please note: due to differences in sizes and files, we may not be able to use your exact image.

How do you plan to use the facility? *

For a One-Time Event

For a Recurring Event (regularly repeating)

For a Class/Study

I do not need to reserve LCC rooms/kitchens.

Event Name *

Examples: Ladies' Luncheon, Men's Softball Brunch

Name of Class or Study *

Event Contact Person *

First Last

All further inquires/conversation regarding this Facility Request Form will go through this person.

Contact Person for this Class/Study or Event *

First Last

All further inquires/conversation regarding this Facility Request Form will go through this person.

Home Phone Number for Contact Person

### - ### - ####

Cell Phone Number for Contact Person

### - ### - ####

Primary Email for Contact Person *

Please list teachers/leaders/facilitators/co-leaders:

Event will recur

Weekly

Monthly

Other

Other examples: First and third Tuesdays, every 5th Friday, etc.

This class or study will meet

Weekly

Every other week

Monthly

Other

Where will this class/event be held? *

On campus

Off campus (Please put in the specific location of your event.)

Estimated Number of Participants

We understand that you may not have a definite number - just give us your best guess.

Preparation Time

HH : MM AM/PM

Please tell us what time you think you would like to have access to your room. Example: Your event starts at 1:00pm. You need an hour to decorate. Put in 12:00pm.

Start Date & Time *

MM / DD / YYYY HH : MM AM/PM

Please give us the date of your event. For time, please tell us when your event will start.

End Date & Time *

MM / DD / YYYY HH : MM AM/PM

Your End Date is the date of your final meeting.

Your End Time is the time when each meeting will conclude.

Room Empty By

HH : MM AM/PM

Please tell us when you think you will be done and out of your room. Example: Your event is over at 3:00pm. You need 30 minutes to clean up and re-set the room. Put in 3:30pm.

Are there any dates that this event/class/study will not meet? For example: We will not meet on Thanksgiving week. *

No

Yes - Please tell us what dates your event/class/study will not meet:

Do you want people to sign up online for your event or class/study? *

No

Yes - please indicate the max number of people who may sign up for this event/class/study.

Room size should be taken into consideration when deciding your max number of participants.
PLEASE NOTE: If you are requesting childcare, online registration is required.

Do you want to establish a deadline for people to sign up? *

No - people may join anytime

Yes - below list the last date people may sign up

Do you need to offer childcare for this event/class/study?

No

Yes. Please estimate how many children you anticipate needing childcare.

Please note: All requests for childcare are reviewed by our childcare coordinator, Mary Latham. If authorized, childcare will cover 0-5/K.
Studies and groups meeting during regular weekend worship services DO NOT need childcare as children may go to KM2 (Kids' Ministries) classes.

Do you have any parameters for being able to participate in this event/class/study?

Include ages, gender, etc. Examples: Men only! For ages 16 and over.

Would you like to advertise your event or class/study? *

Yes

No - participation in this event or group is by personal invitation only

Final methods of publicity are determined by our communications team based on several factors including season of the year and scope of your class/event/group.

Is there a fee for being a part of this class or study? *

No Fee

Fee Amount $

Please tell us the total fee per person. If you are unsure of the exact amount, put a "?" after the amount.

Is there a fee for being a part of event? *

No Fee

Fee Amount $

Please tell us the total fee per person. If you are unsure of the exact amount, put a "?" after the amount.

If there is a cost for books or registration, please let us know:

-the department
-the project
-the expense number

Please tell us what curriculum you will be using. *

Do you need books, study guides, workbooks, or other materials ordered for your class? *

Yes

No

Please list the materials you need ordered.

Be as specific as possible, including the exact title and author(s). Specify edition if necessary.
Arrangements for ordering materials need to be made no later than 3 weeks before the start of your group.

ROOM SET-UP/CLEAN-UP

Due to multiple ministries sharing rooms, our rooms are set up in a standard configuration that works for most.

Feel free to rearrange tables and chairs within the room to meet the needs of your particular class/group/event.

Please return the room to it's original configuration when your class/group/event is concluded.

If you have questions about room set-up, leave questions or comments in the "additional info" box at the end of this form.

Please indicate the facilities you are requesting:

Kitchen Contact Person *

First Last

The kitchen contact person is your volunteer who has been trained or who is willing to be trained in the responsibilities and operations of our kitchens.

Kitchen Contact Person's Phone *

### - ### - ####

Please list the primary phone number for this person.

Has your kitchen contact person been trained in the responsibilities and operations of our kitchens? *

Yes - my contact person has been trained.

No - my contact person needs to schedule a training time.

Kitchen will be needed starting at:

HH : MM AM/PM

Please allow for prep time before your event.

Kitchen will be cleaned up and vacated by:

HH : MM AM/PM

Please allow for clean up time.

Please indicate the APPLIANCES you plan to use:

Please indicate the SERVING & PREPERATION items you plan to use:

Please indicate the PAPER & PLASTIC items you plan to use:

Please indicate the DRINK items you plan to use:

Rules for Use of LCC Kitchen:

1. Read and abide by all Kitchen Clean Up Guidelines, cleaning immediately following your event.
2. COMMON GROUNDS, the coffee bar, and espresso machine are a separate entity. Their supplies and inventory are not to be used as part of general kitchen use.
3. In an effort to maintain the Kitchen Ministry and to keep the kitchen orderly and available, please follow this general rule:
LEAVE THE KITCHEN IN BETTER CONDITION THAN IT WAS WHEN YOU ARRIVED.

By filling in my name below I indicate that I have read and understand the Rules for the Use of the LCC Kitchen. I understand that I must contact the Events Coordinator through the LCC office (253) 848-2028 to advise her of any event cancellation immediately up on my knowledge. I understand that only trained persons are allowed to use the kitchen equipment. By filling in my name below, I indicate that I understand that I am the person responsible for this event. *

First Last

Today's Date

MM / DD / YYYY

Additional Equipment
We will contact you to confirm what we are able to provide.

How many round tables do you need?

How many chairs do you need?

How many 8' tables do you need?

How many podiums do you need?

How many flip charts do you need?

Audio Visual Equipment Needed

Mic Stand (Straight): put # needed below

Mic Stand (Boom): put # needed below

Projection (lyrics, notes, web content)

CD Player

DVD/Video Player

Microphone (earmic): put # needed below

Microphone (Handheld): put # needed below

Have you arranged for a trained volunteer to work with the sound equipment? *

No - I need to arrange training for my volunteer to be able to work with the sound equipment.

Yes - I have a trained volunteer to work with the sound equipment. (Please tell us the name of your trained volunteer.)

A trained volunteer is required to work with any of the audio visual equipment listed above. Each ministry is asked to arrange for a volunteer to run the sound equipment for their own event. Volunteer training consists of three sessions, which need to be completed at least a week prior to your event.

Sound Contact Person *

First Last

Sound Contact Person's Phone Number *

### - ### - ####

How many handheld mics do you need?

How many ear microphones do you need?

How many straight mic stands do you need?

How many boom mic stands do you need?

Is there any additional info you would like to share with us regarding your event/class/study?

Thank you for completing our Facility Request Form. We attempt to respond to each submission within one week. All communication will be with the person listed as the CONTACT PERSON on this form.

Failed Submission:

If after clicking "Submit", you DO NOT get a "Thank you for submitting your form." message, please SCROLL UP and fill in/answer any blank required fields. Type in N/A if questions do not apply.

Office Use Only

__Calendar
__Kitchen
__Communication
__Confirmation

__Audio/Visual
__Maintenance
__Childcare