Facility Rental Request
Contact Details
Organization
Contact Name
First Name
Last Name
Email
Phone Number
Event Details
Type / Title of Event
Purpose of Event
Expected Number of Attendees
Date of Event
-
Month
-
Day
Year
Date
If this is a recurring rental request or you have other date options available, please list that here.
Time of Event Starts
Hour Minutes
AM
PM
AM/PM Option
Time of Event Ends
Hour Minutes
AM
PM
AM/PM Option
Setup Time
Hour Minutes
AM
PM
AM/PM Option
End Cleanup/Departure Time:
Hour Minutes
AM
PM
AM/PM Option
Facility Areas Requested
Gymnasium/Auditorium
Classroom(s)
Lobby(s)
Facilities Rental Request Agreements
I understand that the submission of this form does not guarantee approval. A rental agreement/contract will need to be signed.
I understand that a Certificate of Liability ($1,000,000 naming Lancaster County Christian School as “additionally insured”) is required.
I understand that if a rental agreement/contract is signed, a 25% deposit will be required at that time.
Signature
Type Full Name
Submit
Should be Empty: