Facility Rental Request
Contact Details
Organization
Contact Name
*
First Name
Last Name
Email
*
Phone Number
*
Format: (000) 000-0000.
Event Details
Type / Title of Event
*
Purpose of Event
Expected Number of Attendees
*
Date of Event (preferred date)
*
-
Month
-
Day
Year
Date
Date of Event (secondary option)
*
-
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)
Set Up & Support Needs
Tables
Chairs
Sound System
Stage Lights
Other
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
Submit
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