Name

First Name

Last Name

Email Address

Phone

Mobile Phone

(###)

###

####

Event Date

YYYY

Event Time

Hour

Minute

Second

Event Details

Describe your event in details.

Equipment Use

Equipment Needed

If answer yes to the above question, please check all that apply.

Sound

Microphones

Computer/Projector

Video Recording

LiveSteam (May require an extra fee)

LHWC's Band (May require an extra fee)

Is the event during a weekly service (Sunday, Bible Study, or etc.)*

If you answered no to the above question, have your event been approved through LHWC's Facility Renter Agreement?