Lifehouse Church - Facility Request Form

First Name

Last Name

Phone Number

Email

Date of Event

Start Time of Event

End Time of Event

Recurring Event?
Yes
No

Completion Date

Expected Attendance

Set Up Start Date/Time

Provide specific details for Facility Resources needed (# of chairs, tables, etc)

Provide specific details for Human Resources Needed:

Provide specific details for Rooms Needed:

FEES

1-DAY EVENT : $250 Member, $350 Non-Member

WEDDING : $350 Member, $500 Non-Member

Sound Tech : $150 (3 Hours), $30 Each Additional Hour, Rounded Up