Arena Event Request Form
Please complete this form FOUR to SIX weeks before your event for Grow, VO, Leader Orientation, PTTR events, or any other events that have multiple events required. ONE to TWO weeks before for any single event requests or updates.
Name
*
First Name
Last Name
Email
*
What type of Event Request is this?
*
New Event
Update Existing
Change Grow, VO, or Leader Orientation date(s) and/or time(s) for next month
Event Name
*
Campus
*
Please Select
Culpeper
Fredericksburg
Spotsylvania
Stafford
Central
Event Tag Owner
*
Event Type
*
Please Select
Group Event
GROW
Leader Training
Lifepoint College
Outreach
PTTR
Student Camp
Student Event
VO
General Event
Other - specify on next line
Other event type (if not listed above)
Event Start Date
*
-
Month
-
Day
Year
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Event End Date
*
-
Month
-
Day
Year
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Event Start Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Event End Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Location (ie. Campus, address...etc.)
*
Date event registration opens
*
-
Month
-
Day
Year
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Date event registration closes
*
-
Month
-
Day
Year
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Max Number of Registrants
*
Do you want anonymous registrations? (does not require login)
*
Yes
No
Event Description with specific details (this is what people will see when they register)
*
Do you want a registration confirmation sent to registrant?
*
Yes
No
Who is the email from? (ex. specific name, Lifepoint Students, etc...)
From Email address
Email Subject Line
Email Content
Attach this File to Email (optional)
Back
Next
Do you want reminder emails sent?
*
Yes
No
How many reminder emails?
Please Select
One
Two
First Reminder Email Subject Line
First Reminder Email Content
Number of Days Before Event to Send
Second Reminder Email Subject Line
Second Reminder Email Content
Number of Days Before Event to Send
Back
Next
Do you want event tag owner notified of each registration?
*
Yes
No
Is there an event cost?
*
Yes
No
How much will it cost?
How many payments?
One
Two
more - specify in comments
Payment Schedule: Specify payment title (ex. first, last, deposit), payment amount and due date for each payment
Accounting Code
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Next
Is there a discount being offered?
*
Yes
No
If yes, what type?
Early Bird
Discount Code
Date Early Bird Discount Ends
-
Month
-
Day
Year
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Discount % or Discount $ Amount
Discount Code and Discount for this Code
Maximum Number of Discounts allowed (optional)
Beginning Date Discount Is Offered (optional)
-
Month
-
Day
Year
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End Date Discount Is Ended (optional)
-
Month
-
Day
Year
Date Picker Icon
Back
Next
Custom Fields, If needed (ex. T-shirt size, food allergy, steps taken, childcare needed, etc)
Additional Comments (please be as specific as possible)
When do you need this request completed by? (Please give 4-6 weeks advance notice for Grow, VO, Leader Orientation, PTTR events, or any other events that have multiple events required. 1-2 weeks notice for any single event requests or updates.)
*
-
Month
-
Day
Year
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Submit
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