Today’s Date:

Submitted by:

Activity:

Department:

Location:

Transportation:

#Vans:                 Driver:

__________        _______________

                            _______________

Bus:                    Driver:

__________        _______________

#Riding ______________________              

Activity Date:

Time

Start:_________ Ending _________

Setup Time: ___________________

Description of Activity: _________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________Approximate # Attending___________

Announcements:(This date may be changed due to the number of activities on the calendar)

On screen:   Yes ____   No ____  Requested Start Date:________ End Date:__________

Bulletin:      Yes ____   No ____  Requested Start Date:________ End Date:__________

Sign-up

Information Desk:  Yes____  No____ Requested Start Date________ End Date________

Other:_________________________ Requested Start Date________ End Date________

Room Set up                                                                        # Chairs__________

Diagram set-up                                                                                    # Tables__________

                                                                                    Kitchen Equipment______________

______________________________

______________________________

Audio Equipment Needed:                 Yes ______ No______

Video Equipment Needed:                 Yes ______ No______

Office Work

Purchase Requisition Attached:  Yes____ No ____ Office Work Form: Yes____ No ____

Approvals

Department Head:___________________ Pastoral: ______________________________