Potluck Host Request Form
Use this form to request to host a potluck at your residence.
Preferred Name
*
E.g., John Smith
Email Address
*
E.g., john.smith@email.com (won't be shared on potluck invite)
Preferred Date
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Preferred Time
*
1
2
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5
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10
11
12
:
Hour
00
30
Minutes
AM
PM
AM/PM Option
Secondary Preferred Date (if above date is not available)
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Secondary Preferred Time (if above time is not available)
1
2
3
4
5
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9
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11
12
:
Hour
00
30
Minutes
AM
PM
AM/PM Option
Address
*
Street Address
Street Address Line 2
City
State / Province
Zip Code
Parking, driving or public transport directions
*
E.g., Street Parking (easy/difficult to find), guest parking with gate code xx, closest public transport - BART/MUNI/Caltrain/Bus number xx, etc. If you cannot find the residence, contact me at (###) ###-####.
Do you have any pets?
*
Yes
No. Pets not admissible on property.
No. But guests can get theirs
What kind of pet?
Many people are allergic to pets, so it's important for us to provide the information for them to decide on their attendance.
Can attendees bring alcohol?
*
Yes
No (must select for family/kids friendly invite)
What foods are allowed at your residence?
*
Strictly Vegan
Strictly Vegetarian (Milk allowed)
Vegetarian (Eggs and Milk allowed)
Kosher/Halal Non-Vegetarian (No Pork)
Non-Vegetarian (No Pork)
No Preference (any food is allowed, including pork)
Any food allergies that attendees must be aware of?
To make sure that the attendees do not bring food that might trigger an anaphylactic shock.
Invite Message
Short message about yourself or something you want to write in the invite. E.g. 'I just moved to the bay area, love hiking and reading books. Looking forward to connecting with you all.'
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Acknowledgement
My residential address will be shared publicly
*
I Agree
This application is not a confirmation of my potluck host request.
*
I Agree
Submit
Should be Empty: