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Event Name *
Event Location (specific room) *
Event Date * MM / DD / YYYY
Event START and END time
(ex. 9 a.m to 12:15 p.m.) *
Contact information
- first and last name
- email address
- phone number *
Calender/Bulletin Announcement *
Staff Responsibilty *
Amy Fotherby (Integration Director) Jeannie Coros (Children's Ministry Director) Jordan Donald (Worship Director) Mike Armstrong (Family Ministries Pastor) Roger Freeman (Small Group Pastor) Todd Dugard (Senior Pastor)
Is this event to be recorded? (Y/N)
PLEASE NOTE: Ideally A/V needs should be identified at least a month in advance in order to ensure your needs are met. *
No Yes

If you have checked NO, then submit form.
If you have checked YES, continue completing form.
A/V Equipment Needed:
(check all that apply)
DVD player TV Laptop Projector PowerPoint Screen Sound System (mic)
Any additional A/V details?
Do Not Fill This Out

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