Ministry Request Form

YOUR INFORMATION

Ministry Name*

Your Name*

Prefix First Last

Email*

Contact Phone

(Not for publishing; to clarify information concerning your event)

Event Name*

Event Date(s)*

Event Begin Time*

:

Event End Time*

:

Event Location*

Cost*

Please outline the cost to the participant(s). (i.e. $25 per person; $50 per couple; $150 Returning Student/$175 New Student; etc.)

Is Registration Required?*

Registration Deadline Date/Time

Speaker(s)*

Please ensure you have a confirmation letter or signed contract on file with Admin. Type "N/A" if not applicable.

Number of Spaces Available for Your Event*

(i.e. 75 people; 50 couples, no limit)

Brief Description of Your Event*

This can include any supporting web links.

Ministry Email Address to be Used for Advertising

Support Requested

*Additional cost may be added to your budget.

Supporting Documents

(Artwork, Logos, Written Plans, etc). Contact MediaSupport@thelifedc.org for files exceeding 2GB

Drop files here or

Max. file size: 2 GB.