Event Request Form

Requester Information *

First Name

Last Name

Category of Event *

Fundraiser

Fellowship Event

Process Improvement

Private Event

Event Coordinator *

First Name

Last Name

Event Coordinator Phone Number *

(###)

###

####

Event Start Date *

MM

DD

YYYY

Event End Date *

MM

DD

YYYY

Event Start Time *

Hour

Minute

Second

AM PM

Event End Time *

Hour

Minute

Second

AM PM

Preparation Start Date *

(If N/A, enter Event Start Date)

MM

DD

YYYY

Preparation End Date *

(If N/A, enter Event End Date)

MM

DD

YYYY

Preparation Start Time *

(If N/A, enter Event Start Time)

Hour

Minute

Second

AM PM

Preparation End Time *

(If N/A, enter Event End Time)

Hour

Minute

Second

AM PM

Occurrence(s) *

One time

Short-term (A month or less)

Long-term (More than a month)

Re-occurring

Volunteer Participation *

Whole Church

Individuals (less than 5)

Group or Ministry

N/A

Approval or License Needed *

Pastor

License

By selecting the box below, you are stating that you understand and agree to the Pentecostals of Hayward Event Request terms *

I understand that this Event Request must be reviewed and approved by the Pastor before proceeding. The date(s), room(s) and resource(s), etc. may or may not be available and/or restricted based on scheduling. This request is subject to change.