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  • This form is designed to assist the Program Planning Group as we plan our exciting and stimulating calendar of programs. Please fill out this form with as much detail as possible for each suggested program.

    We ask that you send in this form at least one month before your program. Thank you for your participation in this process.

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  • WRT Contact: Barbara Nitzberg Barbara.Nitzberg@wrtemple.org

    914-723-7727 x8575

  • Are you requesting clergy to be at this event?**

  • *Please note this does not guarantee a clergy member will be present if there is a scheduling conflict. 

  • Please note: Evening meeting requests are most easily granted on Tuesday or Thursday evenings.

  • Is this Date / Time potentially flexible, in case there is a calendar conflict?*
  • Proposed Event Location (check all that apply)*

  • (You will be contacted directly to provide your set up needs.)

  • Will you have any Audio/Visual Needs? (Microphone, TV, Laptop etc.)*
  • Will there be food served at/before/after the event? *
  • Will you be seeking assistance from WRT for providing food/drinks?*
  • If yes, what are you serving?
  • Are you co-sponsoring this event with another WRT Committee / Group*
  • Will there be an admission fee / suggested donation requested from participants?*
  • What type of communication and marketing needs are you requesting? (Click all that apply)*

  • Are you requesting a link for an RSVP form?*
  • Are you requesting additional security for this event?*
  • Should be Empty: