LCA Event Request
Name of Event*
Date of Event*
Time of Event*
Location of Event*
Lower School Courtyard
1st Floor Computer Lab
2nd Floor Computer Lab
High School Lunch Commons
High School Main Hall
Performing Arts Center
High School Learning Commons
Football Field ( must be approved by athletic dept.)
Is your event approved by your Principal?
Does your event require on-line purchases/registration?
Please contact Scot McCollum at firstname.lastname@example.org (1 week notice required)
Do you need a program printed?
Contact Sam Martin at email@example.com (2 weeks notice required)
Individual Responsible for the event
Which Administrative Officer is the AOD?
Who is opening in prayer and welcoming all guests?
Who is closing the program?
Doors to Unlock
South Foyer (In front of the LCA Office)
Southeast Entrance (Pre-school / Kindergarten Hall)
Northeast Entrance (First/Second Hall)
High School Commons
High School Front Door
Cafeteria / Auditorium Use
Will you use the stage?
Is a sound system required
Who will set up and operate the system?
What type of microphone is needed
Will you be serving food or drink?
If you plan on serving food or drink at LCA for an event, and the kitchen is required, an extra charge may be applied to secure a licensed food service personnel.
How many serving tables are needed
Number of CHAIRS needed
Number of TABLES needed
Will you need technical assistance?
FOR LCA GROUPS ONLY. If needed, please fill out a check requisition form with check made payable to the event requester. Turn the requisition into the business office at least one week in advance of event.
Who is responsible for tear-down and clean-up of event?
Is additional cleaning required prior to or after the event?
If LCA porters are required to complete additional cleaning, a modest charge may be assessed.
Please send a confirmation email to the address below*:
Please provide an email address where we can send a link to your current form.
Email Address :