Event Request

1

Your Name* This field is required.

First Name

Last Name

2

Event OrganizerOnly enter if different

First Name

Last Name

3

Event Name* This field is required.

4

Today's Date

Date

5

Area of Ministry* This field is required.

6

Phone Number

Area Code

Phone Number

7

Contact E-Mail

example@example.com

8

Please give a short description of the event* This field is required.Note: Include date range if this is a reoccurring event

9

Start Date & Time

Date

Hour

Minutes

10

End Date & Time

Date

Hour

Minutes

11

How many people will be attending?* This field is required.

12

Location of Event* This field is required.

Central Campus

South Campus

Off Campus

13

South Campus LocationPlease select Building

Worship Center

Fellowship Center

Fields

14

On Campus LocationPlease provide Building and Room #

15

Prep Time

Hour

Minutes

16

Clean Up Time

Hour

Minutes

18

Please describe resources needed* This field is required.Note: Please include room set up description

19

Is your event recurring?* This field is required.

Yes

No

20

How frequent is your event?

Event Frequency

21

Do you have a guest speaker at your event* This field is required.This would be for speakers outside of NPHX pastors.

Yes

No

22

Has the speaker been approved by the Executive Leadership Team

Yes

No

23

What is the speakers name

24

What is the account number to charge