Lifestyle Center Event Application

If you would like to host an event at the Lifestyle Center, please fill out and submit the application form below.

IPCCA Lifestyle Center Event Notice and Application

Phone

This field is for validation purposes and should be left unchanged.

Event Name(Required)

Brief description of the event(Required)

Event Coordinator Name(Required)

First Last

Event Coordinator Email(Required)

Event Coordinator Phone

Additional Event Coordinators

Please list all additional event coordinators along with their contact information

Date(s) of event(Required)

Duration of event(Required)

ie, 6 weeks, one day, etc.

Event day(s) and time of day(Required)

ie, Mon, Wed, Fri - 8 am, etc.

Duration of use per day(Required)

ie, 8 am-1 pm, etc.

LSC amenities needed for event

Any additional information we should know?