Facility Rental- Request Form

RENTAL Request Form

Please complete to request a Rental of our facilites at Life Church
Your Name:
Your E-mail
example@example.com
Phone Number:
Format: (000) 000-0000.
Name of Event:
kind of event:
Date Submitted:

MonthDayYear
Date
Approximate # of People to attend
Start Date:

MonthDayYear
Date
End Date:

MonthDayYear
Date
Start Time:

Hour Minutes

AM/PM Option
End Time

Hour Minutes

AM/PM Option
If use is for more than one day and time, please indicate YES and a listing of days/times needed
List additional days and times below
If you are requesting a particular rooms/areas please indicate your needs

Other
Do you need wheelchair access?
Do you need media in the room? ( ie: TV, internet, dvd, etc)
If YES to media, please indicate what type with description below
Will you need tables in the requested rental area?
If YES to tables, please indicate what type and quantity you are looking for. ( we have different types available in limited quantities and will discuss this if we can accommodate this rental request)
Any additional questions? Please list here
Additional Rental Details

This section is to let you know what we can provide and for you to indicate potential other items you may need. You Can SKIP this section if none of it applies.
We do include coffee and water service with our rentals, which includes cups. Please indicate if you would like either or both of these.
We offer other items for an additional rental fee, such as table cloths and some decor items. Indicate if you are interested in what we may have

Other
We have additional rental space including some kitchen use, for an additional fee. Please indicate if you would like kitchen access, and describe type of use (need refrigerator space, heating items etc)
How did you hear about Life Church as a place to rent space?
Thank you for submitting your Rental Request form!

If there is anything else we missed, that you would like to include the box below, please include it.

We are here to help!
Any info or questions we missed??
We will process your request and get back to you as soon as possible, via email. We will call if there are additional questions that you need answered to make sure we are clear regarding your needed request.

Thank you!
Should be Empty:

RENTAL Request Form

Additional Rental Details