Event Request and Information Form

Name of the Event

Who's responsible for this event?

First Name

Last Name

Phone Number

Who is the alternate contact for this event?

First Name

Last Name

Phone Number

Event Information:

Theme or Intent of the event:

Proposed Budget for event:

Reason for the event proposal:

Is a speaker needed?

Yes

Who are you recommending? (email bio to abcworth1@gmail.com)

Who is intended audience?

What are the age groups for this audience?

Small Children

Youth

Adults

Elders

What space within the Church is being requested?

Sanctuary

Social Hall

Foyer

Playground

Event Start Date

Event Start Time

Event End Date

Event End Time

Will additional hours/days be needed for setup and cleanup?

Yes

Provide setup and cleanup details date and times?

Will the church hostesses be needed for this event?

Yes

What assistance is needed from the hostesses?

What is the expected attendance number?

Will the Preacher and/or Deacon need to be present for this event?

Yes

This event is only for:

Antioch Baptist Church

Open to the Public

Both Members and Public

Does the event require audio/visual support?

Yes

What kind of audio/visual support?

Audio

Video

Screens

Other

Describe Other:

Does this event have promotional material? (email all promotional material to abcworth1@gmail.com)

Yes

Additional Information:

Requestor acknowledges that should this event be approved, the setup and cleanup checklist will be followed.

Signature

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