Revive Church Douglas Booking Form

Revive Church Douglas Booking Form

Please complete form below in its entirety for inquiries to book Senior Pastor Zacchaeus Tyson, Executive Pastor Alexus Tyson, or one of our auxiliaries at Revive Church Douglas. Thank you and God Bless!!
Senior Pastor Zacchaeus TysonExecutive Pastor Alexus TysonRevive Praise TeamRevive Dance TeamOther
Name of Event*
Please provide the Name of your Church/Organization*
Church/Organization Name
Church/Organization Leader*
Leader Name
Event Date *

MonthDayYear
Date
Start Time of Event*

:HourMinutesAM/PM Option
Event Details

Please provide information regarding the details of the event request below
Please describe the capacity in which you are requesting the speaker(s)/auxiliary to participate?*
Ex: Event Host, Workshop/Instructor, Minister the Word, Intercessory Prayer, Psalmist, Dance
What are the details of the event (i.e. event type, theme, scriptures, etc.)?*
In-PersonVirtual
ZoomGoogle MeetOther
YesNo
YesNo
Please provide the log-in information for the event*
Location of requested event:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
What time will the requested speaker(s)/auxiliary be expected to start?*
Event Attire
How many people are expected to be in attendance for this event?
YesNo
YesNo
FacebookInstagramTik TokOther
Are there any other details we need to know for this event request?
Contact Information

Please provide event point of contact information below
Event Point of Contact Name*

First NameLast Name
Event Point of Contact E-mail*

Confirmation Email
Event Point of Contact Phone*
Format: 000-000-0000.
EmailText MessagePhone Call
Form Submission

Once you have completed all form fields, please click the “SUBMIT” button below. Please note that submission of this form is not a guarantee/confirmation of your booking request; We will contact you within 48 hrs of submission with a confirmation of receipt of your request and further information — if you do not hear from us within that time frame please email us at the address listed below. Thank you for your time and consideration -- God Bless!
For information or questions reagrding this form, please contact us at booking@revivechurchdouglas.org
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Revive Church Douglas Booking Form

Event Details

Contact Information

Form Submission