Event Request Form

For all submissions of events, meetings, and use of church facilities & please note that a new submission form should be filled out with new dates for all annually reoccurring events. (ie - conferences, clubs, camps, etc). Please read our Event Policy and indicate in your signature at the end of this request that you agree to its terms.

First Name

Last Name

Phone Number

Are you a member of the Kirk Presbyterian Church?

Yes

Since you are not a member, you require a sponsor. This is a person who is a member of the Kirk Presbyterian who will also be at the event.

What type of event is this?

A wedding (Church Member)

A wedding (Non-Church Member)

A meeting (Ex. Diaconate Meeting)

A church event (open to all or a portion of our church)

A non-church event (ex. Trail life, FEFC etc)

Event Title

Event Description (Who, What, Where, Why)

Date of Event (if multiple dates, then the first date):

Event Times (Ex: 10-11am)

Will this event repeat?

Yes

How often will this even repeat?

Date of last repeating event

Provide detail for custom repeating event:

If other, where?

Are you requesting nursery services?

Yes

Will food be served?

Yes

How is the food being paid for?

Individually

Church (already approved)

Church (requires approval)

Other

How much will this cost per individual

How much will this cost for the church?

Please provide details:

Please detail your clean up plan of the facility:

Are you requesting any special equipment or resources?

Online Web-conferencing equipment

Audio & Visual Recording / Streaming

Projector / Screen

Portable Sound Equipment (outside events)

Other

Other items:

If you are requesting Audio & Visual Recording / Streaming, this will cost you $250. Are you okay with paying that?

Yes

What is your estimated attendance?

Would you like this event to be publicized?

Yes

How are you requesting we publicize this event?

Do you have a graphic/image that you would like for us to incorporate in the publicizing of this event?

Yes, and I will send the graphic/image to kirkoffice@kirkpca.org immediately

No, but I am requesting that one be made.

Note: If you have asked us to design a graphic/image for this event, please wait an additional 5 days for it to be designed after approved.

Any other details you would like to add?

Please Sign here acknowledging that you agree with our events policy

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