CCC Event Application
Event Name
Your answer
Event Sponsor
Event Contact Person
Your answer
Contact Person Email
Your answer
Contact Person Cell Phone
Your answer
People
Who is the event for (men, women, families, adults, preschool, elementary, teens, etc)?
Your answer
Approximate number of people attending?
Your answer
When
Is this a one time event or multiple dates? (list all)
Your answer
Beginning time and ending time?
Your answer
Location
Please be advised: Set up and clean up is the responsibility of the Event Sponsor
What is the address?
Your answer
Room or Location at that address?
Your answer
Specific Set-up needs?
Your answer
Cost
Is there a cost to attend?
Describe the levels of cost
Your answer
Will there be additional costs? Please describe (t-shirts, food, childcare, books,etc.)
Your answer
Childcare
Would you like to have childcare provided? (Optional childcare provisions will be decided by staff)
What will be the age range of children?
Your answer
Approximate number of children to be cared for?
Your answer
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