Phone number
Phone type Mobile Home Work Other
Is is ok to publish your contact phone number and email? *
Select… Yes No
Would you like the Safety Team to be present at the event? *
Select… Yes No
Who is this event for (target audience)? *
Proposed Date of the Event? *
Preferred Location? *
Most of the locations are in use during Sunday mornings and Wednesday nights. That means they are not available for use. (Including decorating on the night before)
What Facility Resources will you need and how many? *
Tables, Chairs, popcorn machine, etc
Do you need a bus or van for your event? *
Will your event require any technology? *
Video, Sound, Projector, TV, etc
Select… Yes No
Is Pre-Registration/Sign Up Required? *
Select… Yes No
Is there a per person cost for your event? *
Select… Yes No
Is a waiver needed for your event? *
Select… Yes No
Is childcare needed? *
Select… Yes No
Do you want it advertized? *
Additional Details *
Please provide a brief description and any additional details about your event that could be helpful (websites, speaker details, menus, etc)
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