Brookland Lakeview
Organization / Individual Name
Date
Address
City
State
Postal Code
Country
Telephone
Email
Contact Person Name
Title
Direct Phone
Mailing Address (if different)
Select the space(s) you are requesting: Bogan Hall ($150/hr)Kitchen Only ($150/hr)Harold White Human Development Center – Special Event ($150/hr)Harold White Center – Competition Event ($150/hr)Harold White Center – Practice ($100/hr)Classroom Rental ($100/hr per classroom)Athletic Field (No Lights) – $150/hrAthletic Field (With Lights) – $200/hrDress Rehearsal – $100/hrTournament (Rate varies)Microphone/Audio – $200 flat feeLarge Screen – $200 flat fee
Other Space (please specify)
Number of Anticipated Participants
Will alcohol be served? YesNo
If yes – Total number of attendees
If yes – Number of security officers required
Type of Event
Event Date(s)
Event Time
Set-Up Time
Clean-Up Time
Total Hours Requested
Select your preferred payment method: Money OrderPersonal CheckBusiness CheckCash
Checks payable to: Brookland-Lakeview Empowerment Center
Mail or deliver to: 1218 Batchelor Street, West Columbia, SC 29169
By submitting this application, I acknowledge that I have reviewed and agree to all BLEC Event Rental Guidelines, Rules & Alcohol Policy.
Printed Name
Company (if applicable)
Signature (Write your full name)
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