Are you a member of La Mirada Church *
Facility Usage Rates: 0-3 hours $100 member/ $200+ Non-member. 4-6 hours $200/$400+, 7-9 hours $300/$600+
Phone number *
Phone type Mobile Home Work Other
NAME OF CHURCH MINISTRY SPONSORING THIS EVENT *
START DATE AND TIME *
What is the start date and start time of this event
END DATE AND TIME *
What is the date and time this event will end?
REQUESTED ROOMS/LOCATIONS *
If you're not sure yet which rooms/areas you'll need, select what you can and we will discuss and help you plan later. Select all that apply
OTHER ROOMS NEEDED *
If none, write "NA"
DESCRIPTION OF ACTIVITY IN THE ROOMS *
(Luncheon, prayer, baby shower, workshop, etc)
SOUND - Will your event require use of a church provided sound system? (microphones, stands, music, monitors, etc.) *
Note: use of church audio equipment requires a church-trained audio tech. Fee (in addition to Facility Usage Fee)
CHILDCARE - Will there be children under that age of 18 requiring childcare at your event? *
If ANY CHILDREN under the age of 18, not participating in the event are on campus at any time during the event you must provide supervision. The church will decide the number of workers required. Childcare price per worker: 0-3 hours: $25 (member) $50 (non-member) 4-6 hours $50/$100, 7-9 hours: $75/$150
PROMOTION - Will your event require advertising? *
No event will be promoted until the event is approved. Promotional advertising is available for church members only. Event coordinator will work with the media promotions team to create the promotion. All promotional materials must be approved by the media director.
FOOD/DRINK - Please check yes that you have read and understand our food/drink policy. *
NO ALCOHOL ALLOWED. Food and drink are the sole responsibility of the Ministry or User
CLEANING - Please check yes that you have read and understand our cleaning policy *
Additional cleaning fee to have our janitors clean the facility to have it ready for Sunday Worship (Saturday events): $75
ROOM SETUP *
What type of configuration do you need in each room you are using? List the name of the room and the set up needed. Round tables seat 8, 8' tables seat 8, 6' tables seat 6, cafe tables seat 4. Will rooms be configured for seating in rows? Dining? Seminar? If you need to describe the setup, please contact the facilities use coordinator with your needs. Please NOTE: There may be an additional fee for room set-up.
ROOM DECOR - Please check yes that you have read and understand the Room Décor policy: *
You are responsible for supplying table cloths, plates, cups, napkins, utensils, and decor.
WHICH ROOMS REQUIRE AUDIO/VIDEO? *
Other rooms that require audio/video *
(If none, write "NA"
WHAT KIND, IF ANY, VIDEO WILL BE SHOWN AT THIS EVENT? *
*ALL VIDEOS or POWERPOINT MUST be DELIVERED TO THE CHURCH OFFICE VIA FLASH DRIVE, DROPBOX OR GOOGLE DRIVE LINK NO LESS THAN 48 HOURS PRIOR TO THE EVENT.
LIVE MUSICIANS REQUESTED *
If yes, check all that apply
BACKGROUND MUSIC *
Do you require background music for your event?
ORDER/ELEMENTS OF THE PROGRAM *
Please describe the order of service or elements of your program schedule
QUESTIONS? COMMENTS?
We're here to help. Please let us know if you have any questions, comments, or need to speak to the facilities usage director:
Submit A copy of your responses will be sent to your email address.
