Booking Requests — LIFE CENTER WORSHIP

Your Information

Your Name *

Your Name

First Name

Last Name

Organization/Church Name *

Your position in the Organization *

Organization Website *

http://

Organization Phone Number *

Organization Phone Number

Country

(###)

###

####

Organization Address *

Organization Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address *

Confirm Email Address *

Your Contact Cell *

Your Contact Cell

Country

(###)

###

####

Event Information

Event Name *

Event Date(s) *

Event Date(s)

YYYY

What type of event are you hosting? *

Event Description *

Tell us more about this event. The vision behind it, purpose for gathering, etc

Venue Name *

Location where the event is being held

Venue Address *

Venue Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Event seating capacity *

Estimated attendance of event *

Other speakers/worship leaders confirmed for this event *

Number of sessions you are requesting the worship leader to lead *

Requested date *

Requested date

YYYY

Date option 2 *

Date option 2

YYYY

Date option 3 *

Date option 3

YYYY

Closest Airport to the Event City *

Which leaders are you requesting?

Full LCW Experience (David Leach, Nathan Horst, Jon & Tiffany Aitken, Ricardo White)

David Leach

Nathan Horst

Jon & Tiffany Aitken

Ricardo White

Any Available Artist

Are you requesting: *

Full band with above requested worship leaders (5-7 people including sound engineer)

Above requested worship leaders with 2-3 musicians including a sound engineer (you will provide the additional musicians needed.)

Just the requested worship leaders (you will provide musicians and sound engineer).

Have you hosted a Life Center Worship Leader for a previous event? *

If so, please enter details of event such as worship leader, event name, event dates.

Additional Information

Your Sound Engineer Name *

Your Sound Engineer Cell *

Your Sound Engineer Cell

Country

(###)

###

####

Disclaimers

Disclaimer 1 *

Please read and check that you have read disclaimer

I agree that this Event Request Form is used by Life Center Worship for the purpose of coordinating agendas. All expenses will be evaluated for the event in question in accordance with the information provided in this form. Submission of this form is only a request and DOES NOT CONFIRM the participation of Life Center Worship in said event. Correct information is required to process this request. After review, a Life Center Worship representative will make contact with you as soon as possible.

Disclaimer 2 *

Please read and check that you have read disclaimer

I agree that, subject to the needs of the request, each event may require any or all (but not limited to) of the following: deposit, fee, travel expenses, lodging, and meals. In case of confirmation, more details will be provided and included in contracts, commitment letters, and technical riders.

Disclaimer 3 *

Please read and check that you have read disclaimer

I agree that this event will NOT be recorded in audio or video for sale or distribution without the consent and written permission of Life Center Worship.