Calendar Request Name* First Last Email*Note: It is not a problem if you do NOT have your own email address. If this is the case, when prompted, please provide "office@lbac.org" in order to complete this form submission. Since we cannot send you a confirmation email from this request, you may call the church office at 562.420.1478 for verification. Enter Email Confirm Email Phone*Is this an LBAC event?* Yes No Name or type of event*i.e. Wedding, Bible Study, Leadership Meeting Number of people expected to attend*Approximate number Location* Church Other Name of location or home* Address* Street Address Address Line 2 City ZIP Code Name of person responsible for event*Note: This person MUST attend the event (from set-up through tear-down) First Last Phone number of above person*Date of event*First choice MM slash DD slash YYYY Alternate dateIf requested date is not available MM slash DD slash YYYY Is this a recurring event?* Yes No What frequency will this event occur?*(e.g. monthly, weekly, bi-monthly) Start time of event*Please do NOT include set-up / tear-down time : Hours Minutes AM PM AM/PM End time of event*Please do NOT include set-up / tear-down time : Hours Minutes AM PM AM/PM Will this event require additional set-up or tear-down time?* Yes No Set-up START time* : Hours Minutes AM PM AM/PM Tear-down END time* : Hours Minutes AM PM AM/PM MinistryPlease note: Once completed, this form will submit to both your department head and the LBAC office. If your request has not been pre-approved by your department head, this causes delays in approving your event and adding it to the LBAC calendar. We advise securing approval in advance to assure the fastest possible approval. Ministry* Men's Women's AWANA Children's Youth Jr. High High School Growth Groups Crafty Women Deaconess Deacon Trustees Worship Missions Women Connecting with Missions Care Ministries Other Ministry (Other):* Has this event been approved by Scott Trickett?*Department Approval Recommended For Fastest Possible Approval scott@lbac.org Yes No Has this event been approved by Men's Ministry Leadership?*Department Approval Recommended For Fastest Possible Approval mensministry@lbac.org Yes No Has this event been approved by Youth Leadership?*Department Approval Recommended For Fastest Possible Approval jesse@lbac.org Yes No Has this event been approved by Luke Schaub?*Department Approval Recommended For Fastest Possible Approval schaublj@gmail.com Yes No Has this event been approved by Meghan Brearley?*Department Approval Recommended For Fastest Possible Approval meghan@lbac.org Yes No Has this event been approved by Tom Gerl?*Department Approval Recommended For Fastest Possible Approval tom@apabrandu.com Yes No Has this event been approved by Jim Rand?*Department Approval Recommended For Fastest Possible Approval jimrandlkwd@aol.com Yes No Has this event been approved by Michelle Crammer?*Department Approval Recommended For Fastest Possible Approval michelle@lbac.org Yes No Has this event been approved by Scott Tricket?*Department Approval Recommended For Fastest Possible Approval scott@lbac.org Yes No Has this event been approved by Brian Nastase?*Department Approval Recommended For Fastest Possible Approval brian.d.nastase@gmail.com Yes No Has this event been approved by Pam Rice?*Department Approval Recommended For Fastest Possible Approval pamierice@yahoo.com Yes No FacilityFacilities Requested*Check as many as apply All Church Sanctuary Gym Kitchen Room(s) Other Room(s):* Facilities (Other):* Facilities Requested*Check as many as apply All Church Sanctuary Gym Kitchen Room(s) Other Room(s): Facilities (Other): Please be aware and prepare for all room set-up and tear-down (returning the room to its "cleared and clean" state) is the responsibility of your department. We do not have any support staff for room set-up/tear-down or mid-week cleaning.Will room use in Sanctuary or Gym require sound system/equipment?* Yes No PromotionWould you like to promote your event with a Courtyard table during our Morning Coffee ministry?*Note: By selecting "YES", you are also submitting a request for an announcement during the worship service and/or in the worship guide. Please make sure your table is active between 9:15AM-9:30AM, and immediately following Worship Celebration Service for 20-30 minutes. Yes No Courtyard table request date:* MM slash DD slash YYYY Additional Courtyard table request date: MM slash DD slash YYYY Additional Courtyard table request date: MM slash DD slash YYYY Additional Courtyard table request date: MM slash DD slash YYYY Is there artwork and/or a flyer created for this event?* Yes No Additional InformationOther notes or important informationResponsibilityBy checking this box, I am assuming full responsibility for any any damage to the the facility. I understand it is my responsibility to return the facility to its original condition; any items in the room must not be tampered with and must be returned to their original place. I take full responsibility for maintaining the cooperation of the group in attendance.* Yes, I confirm and agree with these terms Reminder:Please submit artwork and/or flyer to michelle@lbac.org for worship guide & website production. Please make sure all publications are approved by the office prior to distribution. Δ
