Event Request Form

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Name (main contact)

Date

Ministry

Primary Phone

Email

Event Title

Date of Event

CLC Room(s) Desired

Time set-up will begin

Time break-down will end

Is this event a regular occurrence?

Yes
No

If yes, how often?

Would you like your event advertised?

Yes
No

If yes, how? (Bulletin, Verbal & Visual Announcement, Event Table, or CLC Website)