Event Request Form
Please provide the requested information and complete this form in its entireity for accurate processing of your event planning request
Client Information
Your Name
*
First Name
Last Name
Your Cell Phone Number
*
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Area Code
Phone Number
An Alternate Contact Number
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Area Code
Phone Number
Your Email Address
*
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Event Medical Coverage Information
Type of Request
*
Please Select
Booking
Educational Course
Update Existing
Quote Request
Event
*
Venue
*
Date of Event /Start Time
*
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Event To Take Place (City, State)
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Number of Anticipated Guests
*
Special Instructions
We require 15 minutes prior to the start of the event to prepare. Rain outs and delays will have a charge applied.
Please note, additional fees may apply. Mileage will be applied if out of the 7 County Metro area. Equipment/staff may be limited depending on the venue and event demands.
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Set-up Information
Seating Style
*
Inside and a table with 2 chairs with be provided by site
Outside and a pavilion is available for seating
Outside, Canopy tent provided with a table and chairs
Park, open fields bring your own chair
Outside, bleachers provided or bring chair
# of Chairs
# of Tables
Training Room and the ability to use it?
*
Yes
No
Other
Ice provided?
*
Yes
No
Ice machine
Other
Outside event
Covered sheltered area
10x10 tent
Open air
Other
AED's (Automatic External Defibrillator
*
Yes
No
1-2
3-6
Inside/Outside Gyms
Lobby
Auditorium
Adults pads only
Adult and Pediatric pads
Batteries up to date
Other
Courts
*
Yes
No
1-2
3-4
5-6
7-11
Other
Fields
*
Yes
No
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3-4
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7-8
Other
Sheets
*
Yes
No
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3-4
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Other
Special Instructions
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Media
Choose All That Apply
Please Select
No Media Needed
Educational Course
Public Speaking
Audio provided onsite
Podium (w/Mic)
Handheld Mic
Other
Visual provided onsite
Laptop
Projector & Screen
Smart TV
Extension Cords
White board
Other
Recording Needs
Please Select
Choose One
Audio Only
Videographer
Photographer
Please note, additional fees may apply. Equipment/staff may be limited depending on the venue and educational demands.
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Food Onsite
Choose One
Please Select
No Food Will Be
Available for purchase
Catering
Options
No food onsite
Available for purchase
Beverages Only
Catered in
Other
Special instructions
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Is this a fundraiser event?
Yes
No
Purpose of the Fundraiser
Thank you for your request. Someone will be in contact with you. If you need immediate assistance please call the SAVE A LIFE office 763-576-8146 and someone will assist you. Or email us at info@savealifemn.com.
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