Activity Request Form Please use this form for any on-site activity requests you may need to submit. Instructions: Please allow 7-10 days for approval. Only department heads are permitted to submit activity requests. Event Calender InformationWeb Calendar The info below will also be used on the website calendar so please be thorough. All website events must be approved and submitted one month in advance of the event for website inclusion. Allow 1-2 extra weeks if artwork is needed.Name of Event: *Date(s) of event: *1st choiceDate(s) of event 2nd choiceGroup Requesting Activity *Organizer: *Organizer's Email Address: *Description of Event: *This info is used on the calendar so please be specific. Think of it as your "ad" for the event as this is what people visiting the calendar on the web page will see.Start Time *010203040506070809101112HH000510152025303540455055MMAMPMAM/PMEnd Time: *010203040506070809101112HH000510152025303540455055MMAMPMAM/PMLocation If this event is being held at the church please tell us which room you are requesting. Please name the location if it is being held away from our campus.Location Please put in the address of the location the event is being held if NOT at The Rock.Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryCost of the Activity *Website URL for event If not therockls.comArtworkArt We need to have art for each event so that it is attractive on the webpage and looks uniform in how our page lays out. Also, this is then good to use for promotion of events via social media as well. All images need to be formatted to the following guidelines: 1. 960x450 pixels (width x height) 2. 72dpi resolution If you are needing artwork remember that you must leave an additional 1-2 weeks so that attractive art may be produced for you!Will you need the artwork created for you? *YesNoUpload your art If you are supplying your artwork, please use this portal to do so. Files should be no larger than 15 MB. Files must be formatted to PNG or JPEG. ActivityWill you need to use the kitchen? *NoYesKitchen Clean-Up Department head/Organizer is responsible for kitchen clean-up. The clean up of the kitchen includes the following areas: 1. No left-over food. 2. Wash & clean all containers. 3. Wipe clean stove and all counter-tops. 4. Empty all trash containers and take to the trash dumpster.FundsActivity Fees *Registration fees, etc.Group discount? *YesNoHow many are needed to receive the discount? Only answer this question if you answered "yes" to the previous question.Amount needed for pre-registration ie: Total cost may be $25, but only $10 needed to pre-register.Deadline for pre-registration Food How much will individuals need for food?Miscellaneous Expense Explain any miscellaneous expenses Total of all fees needed per person Deadline for all fees Other Money NeededMiscellaneous expense Miscellaneous expense Explain Explain Total amount of money needed Remember All purchases/charges/activities, etc. over $20.00 must also have had a PURCHASE REQUISITION (online or in the church office) BEFORE any monies are distributed. SupervisionSponsors If this is a youth or children's activity that requires you to transport under age children away from the church, or is an activity at the church at a time other than during a service, you are required to have an appropriate number of adult sponsors.How many youth/kids will be attending? How many adult female sponsors are required? How many adult male sponsors are required? Sponsors Please list all sponsors who will be at this event below.Are all sponsors approved? YesNoIf no, please explain. TransportationWill you be needing church transportation? *NoYesNumber of people riding: Check all vehicles needed: Black van (15 passenger)People Mover (24 passenger)Please list approved drivers: Remember: 1. Make sure the van has gas. Reimbursement slips are in the church office. 2. Please leave the van/s in the condition (including gas) in which you found them. Thank you. Additional informationIs there any additional information we need to know? VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: