Event Host Interest Form

Event Host Interest Form
Thank you for your interest in offering an event with Emberlight, we are continually inspired by the wealth of skills and gifts in this community, and appreciate your willingness to share.

Please review our Event Policy before submitting to ensure you understand what is involved in hosting an event at Emberlight.

We will be in touch if this event aligns with our current programming and availability. Contact Sandra Diaz (sandra@ccld.community) with any questions.
Your Name*

First NameLast Name
Your Email Address*
example@example.com
Event Host (if different from your name)
NoYes
Staff Sponsor Email
example@example.com
Event Name*
Brief Description of the Event*
Website or Other Information on Past Programs (please include links or descriptions)*
Curiosity – Embracing the unknown, adaptability and resourcefulness, creativityRespect for All Beings – Wholehearted acceptance, reciprocity, awe and gratitudeMutual Accountability – Personal responsibility, transparency, courageLoving Presence – Deep listening, compassion, bearing witness
How Does This Event Align with Emberlight Mission, Vision or Values?*
Preferred Dates and Times for Event (please list at least 3)*
Event Length (include hours and minutes)*

Hour : Minutes Minutes
Expected Event Size (number of guests)*
Note: all spaces on Emberlight campus have a max capacity of 40 people.
LighthouseSanctuary Living RoomSanctuary ParlorSocial Fire PitOther (Please Specify)
If "Other" Please Specify
Anything Else We Need To Know?
Should be Empty: