WOLCS Event/Media Request Form
Venetia Boyd ext 1101 venetiab@wateroflifecs.org / Christine Miller cell- 909-560-3885
Event Coordinator *
Your answer
Event Coordinator Contact Phone Number *
Your answer
Event Coordinator Contact Email
Your answer
Event Info
Please give the specifics of set up, timeline and media needs for your event.
Event Name *
Your answer
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 *
Your answer
WOL Reservation Number (if applicable)
Your answer
How Many at the Event *
Your answer
Purpose of Event *
Your answer
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)
Your answer
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
Your answer
Additional Communication
Please add any information regarding your event you would like to communicate.
Notes:
Your answer
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