Event Form — The Powerhouse Church NY

Name of Event *

Date of Event *

MM

DD

YYYY

Time of Event *

Hour

Minute

Second

Location of event (Venue Name & Address) *

Type of Event *

Concert

Worship Service

Conference/Seminar

Social Activity

Number of people anticipated for this event *

Estimate

Will there be food at your event *

Yes

No

Name of Event Chairperson/Coordinator #1 *

First Name

Last Name

Email of Event Chairperson/Coordinator #1 *

Phone of Event Chairperson/Coordinator #1 *

(###)

###

####

Name of Event Chairperson/Coordinator #2

First Name

Last Name

Email of Event Chairperson/Coordinator #2

Phone of Event Chairperson/Coordinator #2

(###)

###

####

Please list the any other Committee Members *

Ministry in charge of event *

Please check which resources are needed *

There maybe a service charge

Audio (Mics)

Media (Video screens)

Social Media Graphic

Printed Graphic

Tables

Musicians

Singers (Praise team)

Choir

Ushers

N/A Nothing needed

Are contracts needed for this event *

Contracts are NOT to be signed by event chairperson(s) or coordinators. ALL contracts must be approved by Administration and the CFO. This applies to venues, speakers, rentals, etc.

Yes

No

Estimated Budget for event *

Please provided administration with a budget breakdown

$

Will there be a charge for this event *

Yes

No

How will funds be collected for this event *

By Selling tickets

Donation

Free Will Offering at Event

If ticketed event please provide price of ticket *

Do you need a graphic for this event? If yes, please provide any color schemes, inspiration, key elements. Please note that administration will have the final approval based on our ministry's brand. *

Please provide any additional information concerning this event

Thank you for your request!

Please note that your event is not approved until you have received confirmation from administration.

A planning meeting maybe scheduled once approved depending on your event type.

For further information please email administration at administration@powerhousechurchny.org or Rodney Peay, Director of Administration at Rpeay@powerhousechurchny.org .