First Name *

Last Name *

Email Address *

Mobile Number *

Event Date *

Does This Event Occur Over Multiple Days? *

Event Date End

Is This Event Reoccurring? *

Describe How Often This Event Would Occur

What Times Would The Facility Be In Use? *

Tip: (Please Include All Setup And Teardown Time)

Is the event at a different location other than Life Change Church?

Event Type *

Expected Number Of Attendees *

Tip: (Approximately)

Requested Rooms to Use

Standard and Portable Equipment

Would you like advertisement?

Will you need additional days to setup? (Other than the day of)

Do you have your own people to setup & teardown?