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PHUMC Event/Space 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

Is this Event Offsite/Virtual?

OffsiteLocation

Virtual Meeting Link

Event Date *

Start Time *

End Time *

Event Recurrence Rules

Recurrence

Recurrence Rules

Every days(s) *

Every Weekday

Recur Every week(s) on:

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Recur every month(s) on:

Day

The

Recur every years(s)

On

of

Recurrence dates:

End Event after occurrences.

OR

End After Date

Location *

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 *

Entry to any church building after 4:30 pm Mon-Fri & after 1:00 pm on Sun, requires a door keypad code. Will your group need a door keypad code assigned for this event? *

Yes

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

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

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