PHUMC Event Request Form
First Name
*
Please enter your First Name
Last Name
*
Please enter your Last Name
E-mail
*
Please enter email address/username
Phone
Please enter your phone
Event Name
*
Please enter your Event Name
Event Description
*
Please enter your Event Name
Event Date
*
Start Time
*
End Time
*
Public?
Public Notes
Public Link
Number of People
*
Is the group leader the same person listed above?
Yes
No (Please complete group leader information below)
Group leader First Name
Group leader Last Name
Group leader email
Group leader phone
Is the group leader a member of PHUMC?
Yes
No
Please indicate your PHUMC staff host for your event
*
Mark Barr
Steve Biffle
Cindy Bowden
Cindy Burns
Courtney CarlLee
Jay Clark
Stan Cox
Juanita Daniels
Pat Dillahunty
Cathy Englade
Kristie Finney
Jeff Hampton
Stacey Hightower
Rod Hocott
Theresa Hodge
Virginia Lewis
Jim Maase
Kathleen McMurray
Jacob Nolen
John Robbins
Mary Smith
Larry Sweet
Trenton Teegarden
Bev Villines
Please assign a staff host
Requested Room/Space
*
Sanctuary (COVID-19 capacity of 50)
Great Hall/Gym (COVID-19 capacity of 30)
Wesley Hall (COVID-19 capacity of 30)
Jim Faulkner Youth Hall (COVID-19 capacity of 25)
Shamblin Chapel (COVID-19 capacity of 15)
C236/Mirror Room (COVID-19 capacity of 12)
Parlor (COVID-19 capacity of 12)
Is set-up required?
*
Yes (please complete set-up questions below)
No
Number of 8 ft tables needed
Number of chairs needed?
Desired set-up configuration
Chairs only socially distanced
Tables only socially distanced
8 ft tables & chairs socially distanced
Other (please explain in additional information section)
Will A/V equipment be needed?
Yes
No
A/V equipment need explanation
Will tech equipment/assistance be used/needed?
Yes
No
Tech equipment need and/or assistance explanation
Additional information section
Real Person Verification
