Event Request Form Point of ContactPlease list who the point of contact is for the event.Name* First Last Email* Phone*About the EventName of Event* Please enter the name of the event.Brief Description* Please enter a brief description of the event and the target audience.Date of Event* MM slash DD slash YYYY Enter the date of the event. If the event is a time frame (several days or weeks) please indicate the START date.Event Times* Please list the start and end times for the event. Please include set up and tear down/clean up time.Primary Event Location*Karios HallWorship CenterFoyerPrayer RoomNursing Mothers Room (102)CaféKitchen (Main)Room 106Room 107Room 108Room 110Room 111Room 112ChapelKitchen (Chapel)PlaygroundHaiti - InfantsAustralia - Toddler 1Greece - 201England - 202Germany - 203Equador/Peru - 204Congo - 205Cameroon - 206Russia - 207Israel - 208China - 2nd GradePlease indicate which room(s) will be used for the event. Please include all rooms, regardless of the length of time needed.Secondary Event Location*Karios HallWorship CenterFoyerPrayer RoomNursing Mothers Room (102)CaféKitchen (Main)Room 106Room 107Room 108Room 110Room 111Room 112ChapelKitchen (Chapel)PlaygroundHaiti - InfantsAustralia - Toddler 1Greece - 201England - 202Germany - 203Equador/Peru - 204Congo - 205Cameroon - 206Russia - 207Israel - 208China - 2nd GradeIn the event that your primary location is unavailable, please select a secondary location.Child Care* Please indicate if a child care room is needed. This is not a request for child care support. You need to provide your own sitters.Event Needs* Please indicate all the supporting resources needed (Audio/visual; child care; music; keys needed).Section BreakDetails Regarding Event*Please describe, in detail, the needs of this event.RowOther Comments or NotesAnything else we need to know about your event?CAPTCHAUntitledFirst ChoiceSecond ChoiceThird Choice