Facility Rental Request

Facility Rental Request
Contact Details
Organization
Contact Name*

First NameLast Name
Email*
Phone Number*
Event Details
Type / Title of Event*
Purpose of Event
Expected Number of Attendees*
Date of Event (preferred date)*

MonthDayYear
Date
Date of Event (secondary option)*

MonthDayYear
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 Option
Time of Event Ends*

Hour Minutes

AM/PM Option
Setup Time*

Hour Minutes

AM/PM Option
End Cleanup/Departure Time:*

Hour Minutes

AM/PM Option
Facility Areas Requested*

Gymnasium/AuditoriumClassroom(s)Lobby(s)
Set Up & Support Needs

TablesChairsSound SystemStage LightsOther
Please explain any specific setup requirements and details.
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% non-refundable deposit may be required at that time.
Signature*
Type Full Name
Should be Empty: