1 Event / Activity Request

Submitter First Name *

Submitter Last Name *

Email Address *

Phone *

Event Title / Description *

Event Date *

Start Time *

Hours

Minutes

AM/PM

End Time *

Hours

Minutes

AM/PM

Is this a member sponsored event? *Yes, submitter is the sponsor.Yes, a different member is sponsoring.No.

Sponsor First Name *

Sponsor Last Name

Checkbox *I understand I will work with the lodge to coordinate rental fees and insurance for this event.

Is this event is being held for charitable purposes? *YesNo

Intended Charitable Outcome / Charity Organization *

Please check below if:I request temporary key issuance because this event is being held or requires setup/clean up time outside of normal operating hours.I request club bar staffing because this event is being held outside of normal operating hours.I am intending to sign in multiple guests, and I require an event specific guest sign-in sheet.

I understand as the host of the event, a member must be responsible for coordinating accurate guest sign in. *Yes

Please upload a flyer or advertisement for your event.

No file chosen

Flyer DistributionI would like my flyer emailed to the membership and included on the event calendar.I would like my event advertised on the public facing webpage.

Anything additional you want the approval board to consider?