Contact Name *

First Name

Last Name

Are you a member of LOC? *

Yes

No

Phone

(###)

###

####

Event Date *

MM

DD

YYYY

Event Start Time *

Hour

Minute

Second

AM PM

Event End Time *

Hour

Minute

Second

AM PM

Space Requested *

Kitchen: Check if you are using the kitchen to serve a meal, which includes light snacks and coffee

Multi-Purpose Room: Capacity 150

Room 104: Capacity 24

Room 102 (nursery): Capacity 10

Room 101 (pre-school): Capacity 14

Conference Room: Capacity 10

Sanctuary: Capacity 300

Will Audio, Special Lighting or Projectors be needed?

Yes

No