LCC Facility Request Form
Name of Group or Event
Your answer
Event Description
Your answer
Estimated Attendance
Your answer
Beginning Time (including setup)
Your answer
Ending Time (including cleanup)
Your answer
Requested Areas (check all that apply)
Technical / Equipment Needs
Additional Needs
Your answer
Primary Contact Name
Your answer
Primary Contact Phone
Your answer
Primary Contact Email
Your answer
I have read the facility use policy and I agree to the stated terms and conditions. I understand that a $50 deposit (member, refundable) or 25% (non-member, non-refundable) is due within 3 days of making a reservation. Any additional fees are due one week prior to the event.
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