Quarterly Activity Proposal

ACTIVITY REQUEST FORM
This replaces the following forms: Space Request, Announcement, Clerical, Services, Website & Transportation. You must still complete any Finance forms if applicable.
Name of Organization:
Event:
Name of Facilitator
Date of Event:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
IMPORTANT NOTICE: Requests can only be made for times between 7:00 am - 8:30 pm. Events outside this range will not be granted.
Start Time:

:HourMinutesAM/PM Option
End Time:

:HourMinutesAM/PM Option
Set-Up Time:

:HourMinutesAM/PM Option
Break-Down Time:

:HourMinutesAM/PM Option
Contact Name:
Phone Number

Area CodePhone Number
Email
example@example.com
- Please submit 14 days in advance of event/meeting!
- Meeting Room needed?
- Preferred Rooms:
- Describe Setup:
- Childcare Needed
- If yes, how many
- Attach Setup:
  
  Browse Files
  
  Cancelof
- Is advanced Registration required?
- Are Release/Consent Forms needed?
- Attach Consent Form:
  
  Browse Files
  
  Cancelof
- Registration Start Date:
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Registration Deadline:
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Is participation limited:
- Maximum Registrants:
- Childcare Needed:
- How Many?
- Attach Registration Form:
  
  Browse Files
  
  Cancelof
- Please submit 14 days in advance of event/meeting!
- Announcement Type
- Verbiage:
- Start Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- End Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Table Needed?
- Attach Announcement:
  
  Browse Files
  
  Cancelof
- Preferred Onsite Location:
- Brentwood Preferred Caterer:
- Please submit 14 days in advance of event/meeting!
- Check all that apply:
  
  Other
- Additional Information:
- Upload Presentation:
  
  Browse Files
  
  Cancelof
- Please allow at least 14 days for completion.
- Administrative Needs: (Check all that apply)
  
  Other
- Graphics Needed: (Check all that apply)
  
  Other
- Supplies Needed: (Check all that apply)
  
  Other
- Additional Information:
- Attach Document:
  
  Browse Files
  
  Cancelof
- Check all that apply:
  
  Other
- Requests received the by 1st of the month will be posted on the 15th of the same month. Requests received the by 15th of the month will be posted on the 1st of the following month.
- Check all that apply:
- Website Start Date:
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Website End Date:
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Online Store Start Date:
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Online Store End Date:
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Social Media Start Date:
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Social Media End Date:
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- E-blast Start Date:
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- E-blast End Date:
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Description:
- Please attach file:
  
  Browse Files
  
  Cancelof
- Please attach file:
  
  Browse Files
  
  Cancelof
- Please submit 14 days in advance!
- Is transportation needed?
- Description of Transportation Use:
- Destination:
- Destination Address:
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Destination Number:
  
  Area CodePhone Number
- Departure Date:
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Return Date:
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Departure Time:
  
  :HourMinutesAM/PM Option
- Return Time:
  
  :HourMinutesAM/PM Option
- Expected Number:
- Type Requested:
- Attach Itinerary:
  
  Browse Files
  
  Cancelof
- Should be Empty:

ACTIVITY REQUEST FORM