EmailMe Form - Activity Request Registration

* have you checked the calendar for availability *

Yes

Today's Date *

MM / DD / YYYY

Your Name *

Phone *

Email *

Department *

Name of Activity *

Date of Activity *

MM / DD / YYYY

Day Of Week *

Start Time *

HH : MM AM/PM

End Time *

HH : MM AM/PM

Location of Event *

Describe Activity *

Number of People Expected

Recurring Activity *

Yes

No

If YES, please enter number of times in box below

Number of Recurrences

Will the church be providing food for the event? *

Yes

No

Child Care Provider Needed *

Yes

No

Transportation Needed *

Yes

No

If YES, please enter number of times in box below

Transportation Option(s)

Van (15 Passengers)

Small Bus (23 passengers)

Large Bus (46 Passengers)

Select all that apply

Advertising Needed

Bulletin

Video Announcements

Website

*For video announcements, please allow 3 weeks advance notice before the requested start date

Sign Up Needed? *

Yes

No

Technicians Needed?

Sound

Media