Dominion Word Ministry Event Request
Submitted by? Please include phone or email contact information. *
Your answer
Event Name *
Your answer
Have you checked Dominion Online Calendar for date?
Date Requested *
MM
/
DD
/
YYYY
Time Requested
Time
:
Description of activity *
Your answer
Event start time *
Time
:
Event end time *
Time
:
Do you need access to the DWM building? *
Required
If yes, what time do you need access to building?
Time
:
How long do you need for clean up? (Must wipe surfaces, vacuum and empty trash)
Your answer
Do you need kitchen access?
Space required?
Is this paid event? *
How will you publicize? *
Do you want an announcement on screen? *
Have you created a flyer? (must submit for approval) *
Do you need assistance creating a flyer? *
Required
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