Activity Form

House of Glory
This form must be submitted at Least 5 weeks prior to the event.

THIS FORM IS BEING USED AS:

NAME OF ACTIVITY

DATE FROM:

DATE TO:

IS THIS A REPEATING EVENT?

YES

NO

IF YES PLEASE GIVE DETAILS (EX: SPECIFIC DATES AND TIMES)

START TIME

END TIME

First Name

Last Name

CONTACT PHONE #

Email

REQUESTING MINISTRY

ESTIMATED NUMBER OF ATTENDEES

TYPE OF GATHERING

ON CAMPUS

OFF CAMPUS

*OTHER

*Other

SET-UP DETAILS

SET UP TIME

DO YOU NEED SOMEONE TO OPEN THE FACILITY

YES

NO

WILL YOU NEED TO LOCK FACILITY

YES

NO

WILL YOU NEED TABLES TO BE SET UP

YES

NO

IF SO, HOW MANY

PLEASE SUBMIT A DRAWING OF THE LAYOUT OF THE ROOM AFTER APPROVAL

MEDIA NEEDS

IS THE MEDIA DEPARTMENT NEEDED

YES

NO

Wireless Microphone

YES

NO

DVD/Video Playback

YES

NO

BACKGROUND MUSIC

YES

NO

DO YOU NEED A MEDIA LEADER

YES

NO

CHILD CARE SECTION

ARE YOU NEEDING CHILD CARE

YES

NO

Requesting Paid Child Care

Yes

No

Grade

ANNOUNCEMENT SECTION

ALL ANOUNCEMENTS MUST BE IN BY MONDAY 4 P.M. FOR CONSIDERATION FOR THE FOLLOWING SUNDAY

VIDEO ANNOUNCEMENT

YES

NO

VIDEO ANNOUNCEMENT SCRIPT

Church personnel reserves the right to change verbiage for spacing and for grammatical purposes.