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Service Request Form
All requests must be submitted (6) weeks prior to date of the event for review. Responses will be received within (3) weeks. Requests are granted based on the availability of Embracing Legacy entities and whether the mission of the organization/event compliments that of Embracing Legacy's.
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* Indicates required question
Email
*
Your email
Date of request:
*
MM
/
DD
/
YYYY
Primary Contact
Name:
*
Your answer
Phone Number:
*
Your answer
Email:
*
Your answer
Secondary Contact Name:
*
Your answer
Phone Number:
*
Your answer
Email
*
Your answer
Name of requesting organization:
*
Your answer
Name of Event:
*
Your answer
Event Date:
*
MM
/
DD
/
YYYY
Event Start Time:
*
Time
:
AM
PM
Event end Time:
*
Time
:
AM
PM
Purpose of event:
*
Your answer
Event Location:
Your answer
Is this event open to the public:
*
Yes
No
is there a cost or entry fee for this event:
*
Yes
No
Embracing Legacy Programs requested:
*
Innovators of Legacy robotics
Mighty Marching Lions marching band
Artists of Vision arts program
Voices of Legacy youth choir
May Embracing Legacy have a booth or registration/information table?
*
Yes
No
Required Check In Time:
Time
:
AM
PM
Special Parking:
Your answer
Timeline of when Embracing Legacy group(s) will perform:
*
Your answer
Allotted time for each performance:
Your answer
How did you hear about Embracing Legacy?
*
Your answer
Is Embracing Legacy asked to attend the full event?
*
Yes
No
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