Room Reservation Form - Outside Groups

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Please submit to the Director of Operations at least 1 month prior to your event.

Contact Name *

Contact Phone or Email *

Event Name *

Date *

YYYY

Start Time *

Time

End Time *

Time

Nature of the Event *

Is your organization a non-profit? *

Yes, we are a non-profit organization

No, we are a for-profit organization

Other:

Approximate Number of People *

Approximate Number of Children/Youth

(children and youth must be supervised at all times)

Approximate Number of Adults *

Room(s) Needed *

Sanctuary

Chapel

Grant Fellowship Hall

Kitchen

Parlor

Reception Hall

Conference Room

Other:

Required

Room Needed Start Time (if different from Event Start Time)

Time

Room Needed End Time (if different from Event End Time)

Time

Is this a recurring event? *

Yes

If Yes, Frequency of Event

If Yes, End Date

YYYY

Would you like doors scheduled to unlock? *

Yes

Unlock Time

Time

Lock Time

Time

Door(s)

Who will be monitoring the door(s) during this time?

Will you need a key card and/or keys? *

Yes

If yes, please explain

Please select any tech you will need.

Projector Cart

Owl

Other:

Will you be submitting a room set-up request?

If yes, please submit at least 1 week prior to the event.

Yes

Will your event involve any food and/or drinks? Please select all that will apply. *

Yes, we will need to use the kitchen facilities, and understand that this must be supervised by someone who has completed the kitchen training.

Yes, our meal will be catered by the LUMC chef (work order must be submitted at least 2 weeks prior to event).

Yes, our meal will be catered/provided by someone other than the LUMC chef.

Yes, our meal is potluck.

Yes, we plan light refreshments only.

No.

Required

If applicable, name of trained person who will supervise your kitchen use.

If applicable, name of person catering/providing the meal.

If applicable, list of kitchen supplies needed (i.e., coffee maker, paper plates, napkins, serving spoons).

Will you need any other resources?

Would you like this listed on LUMC's public calendar? *

Yes

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