WOLCS Event/Media Request Form
Venetia Boyd ext 1101 venetiab@wateroflifecs.org / Christine Miller cell- 909-560-3885
Event Coordinator
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Event Coordinator Contact Phone Number
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Event Coordinator Contact Email
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Event Info
Please give the specifics of set up, timeline and media needs for your event.
Event Name
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Date of Event
MM
/
DD
/
YYYY
Setup Begins at
Time
:
Doors Open at
Time
:
Event Start Time
Time
:
Event End Time
Time
:
Venue
Other Venue(s) or outside spaces. Please Specify or type N/A
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WOL Reservation Number (if applicable)
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How Many at the Event
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Purpose of Event
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Setup
Please describe how many and what type of tables, chairs, easy ups, needed for your event.
6 foot ROUND tables fit 10 chairs max and 8 comfortably. 6 ft RECTANGLE tables fit 6 chairs max.
Chairs are limited in padded (100)
Plastic chairs in WHITE or BLACK
How Many 5ft ROUND Tables (see chair max above) Type N/A if no rounds required.
Your answer
How Many 6ft RECTANGLE Tables (see chair max above) Type N/A if no rectangles required.
Your answer
How Many Chairs Required (White or Black or Grey padded?) Type N/A if no chairs are required.
Your answer
Do you Have a Setup Diagram of How you Want the Event to be Setup? (if yes, please supply to Venetia)
Lighting
Lighting Needs
Lighting Specifics (if yes)
Your answer
Music
In addition to venue sound, outdoor music is available using the portable sound system.
Music
Music Specifics (if yes)
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Control Booth
Projected Video or Slides
Projected Video: What type? (Need all files 2 weeks prior to event)
Your answer
Audio Set Up
Audio Equipment set up
Required
Video Recording
Video Recording
Video Recording Specifics
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Additional Communication
Please add any information regarding your event you would like to communicate.
Notes:
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