Name: * Email: * Home phone number: * Cell phone number: * Name of event to be publicized? * Activity date(s): * Start and end time for activity: * Start time: * End time: * Is additional time needed for set-up and clean-up? If "yes," how much? * For which church ministry? * Give a detailed description of the activity. * Is this a one-time event or a recurring event? *
If recurring, give exact dates you will be meeting: What elder or pastor has approved this? * How many people expected? * First room choice? * Second room choice? * Any special set-up needed? * Will you use the kitchen during your activity? *
Will the playground be used? *
What items will you need? (check all that apply): Will you need (check all that apply)? Do you take responsibility for the rules (see "?" bubble) and all clean-up? *
Would you like this event publicized? *
Yes
No
Who is the contact person for this event? How should they be contacted? Who is invited? Who is the speaker/teacher? Is there a cost?
Yes
No
If you answered "yes" to the last question, how much? How would you like your event communicated? If you selected a "Flyer," how many do you need? If you selected a "22x28" Poster," which account should be charged? Special instructions? Please attach any pictures or graphics (in .jpg or .psd format only).