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Room Reservation Form - Outside Groups
Please submit to the Director of Office Administration at least 1 month prior to your event.
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* Indicates required question
Contact Name
*
Your answer
Contact Phone or Email
*
Your answer
Event Name
*
Your answer
Date
*
MM
/
DD
/
YYYY
Start Time
*
Time
:
AM
PM
End Time
*
Time
:
AM
PM
Nature of the Event
*
Your answer
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
*
Your answer
Approximate Number of Children/Youth
(children and youth must be supervised at all times)
*
Your answer
Approximate Number of Adults
*
Your answer
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
:
AM
PM
Room Needed End Time (if different from Event End Time)
Time
:
AM
PM
Is this a recurring event?
*
Yes
No
If Yes, Frequency of Event
Your answer
If Yes, End Date
MM
/
DD
/
YYYY
Would you like doors scheduled to unlock?
*
Yes
No
Unlock Time
Time
:
AM
PM
Lock Time
Time
:
AM
PM
Door(s)
Your answer
Who will be monitoring the door(s) during this time?
Your answer
Will you need a key card and/or keys?
*
Yes
No
If yes, please explain
Your answer
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
No
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.
Your answer
If applicable, name of person catering/providing the meal.
Your answer
If applicable, list of kitchen supplies needed (i.e., coffee maker, paper plates, napkins, serving spoons).
Your answer
Will you need any other resources?
Your answer
Would you like this listed on LUMC's public calendar?
*
Yes
No
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