Shiloh Event Request

Event Request
Contact Information

Please provide the information for the event's primary contact.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Event Details

Please providethe requested information regarding the event. Keep in mind that staff only knows what information is provided below.
Event Title*
What ministry is responsible for this event?*
Please note that Shiloh events take priority over non-Shiloh events.
Provide a brief description of the event.*
Marketing materials are created based on the description.
Event Date*

MonthDayYear
Date
What time does the event start?*

Hour Minutes

AM/PM Option
What time does the event end?*

Hour Minutes

AM/PM Option
What time do you need to start setting up?*

Hour Minutes

AM/PM Option
What time will you be finished taking down?*

Hour Minutes

AM/PM Option
Registration for Event
Do people need to register for the event?*

YesNo
How do people register for the event?*

OnlineAt a table in the foyerContact the event's primary contactOther
Do you need staff to create a registration form?*

YesNo
Please provide registration details.*
For example, dates to register, website to register, etc...
Childcare

Please note that the cost of childcare is charged to your ministry's budget.
Will your event need childcare organized by staff?*

YesNo
What time will childcare begin?*

Hour Minutes

AM/PM Option
What time will parents pick up the children?*

Hour Minutes

AM/PM Option
Will childcare occur during a meal time?*

YesNo
Who is providing the meal?*

The Event OrganizerEach child will bring their own
Approximately, how many children will need childcare?*
Building Reservations
Will your event take place on Shiloh's campus or offsite?*

Shiloh's CampusOffsiteBoth on Shiloh's campus and offsite
Please select the Pre-School Wing for child care in addition to whatever other Shiloh facility you are requesting.
Please note that Shiloh events take precedence over non-Shiloh events.
Select which facility or facilities best fit your event's needs. Select all that apply.*

Family Activity Center (FAC)AuditoriumRoom 101/102 (Fellowship Hall)Room 10Room 11Room 12Room 13Room 14Room 15Room 16Room 17Room 18 (The Gathering)Pre-School Wing ** Select this option if you need childcare **
What is the address of where the event will happen?*
Transportation
Will your event need to use any of Shiloh's vehicles?*

YesNo
Who will be your authorized driver?*
Write "unknown" if you're not sure yet.
Which vehicle(s) are you requesting? Select all that apply.*

People Mover (holds 15 people, including the driver)Green Van (holds 12 people, including the driver)Blue Van (holds 12 people, including the driver)White Van (holds 15 people, including the driver)
Audio Video
Events in the auditorium are required to have audio-video personnel.
Will your event need audio-video equipment or personnel?*

YesNo
Communications
Will you need staff's assistance to promote the event?*

YesNo
Who is your target audience? Select all that apply.*

ShilohParents of ChildrenYouth Group and ParentsCollege Aged Persons or Young AdultsMenWomenPrime TimersOther
Who is the target audience?*
Other
Is there anything else you want us to know about the event?
The applicant and the individual executing this application hereby waive any and all claims, demands and causes of action that they may have against Shiloh Road Church of Christ as a result of the use of church facilities pursuant to this application. The applicant and the individuals executing this application shall indemnify and hold harmless Shiloh Road Church of Christ and its officers, agents and employees from and against any and all costs of litigation arising our of or associated with the use of church property by the applicant group and its members, guests, employees, and agents pursuant to this application. *Non-Members, further, the user group should provide a certificate of liability insurance in favor of Shiloh Road Church of Christ in the amount of at least $1,000,000.*

I agree
Should be Empty:

Event Request

Contact Information

Event Details

Registration for Event

Childcare

Building Reservations

Please select the Pre-School Wing for child care in addition to whatever other Shiloh facility you are requesting.

Please note that Shiloh events take precedence over non-Shiloh events.

Transportation

Audio Video

Events in the auditorium are required to have audio-video personnel.

Communications

Other