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Event Request Form
Step
1
of
4
25%
Event Leader Name
First
Last
Event Leader Phone
Event Leader Email
Name of event
Event description
Please provide 1-3 paragraphs describing your event
Where is this event located?
Who is this event for?
Start Date
End Date
Start Time
End Time
Is this a recurring event?
No
Yes
How often will this event occur?
Secondary Date Option
If your primary selected date is not available, is there another date that will work?
Advertising
Check all that apply
This event will need a graphic designed
This event should be announced during service announcements
Event Options
Check all that apply
This event requires registration
This event offers childcare
There is a registration cost for this event
This event has audio/visual equipment needs
This event requires set up & tear down outside of the scheduled event
Registration Cost
Additional notes, details, deadlines, comments
Name
This field is for validation purposes and should be left unchanged.