Gorsebrook Events Form

Society Name*

Society Email*

Primary Event Organizer Name*

First Last

Contact Number (during event)*

Contact Email*

P.E.O. workshop attended?*

Event Title*

Event Date*

Start Time*

: HH

MM

End Time*

: HH

MM

Event Theme (if applicable)

What type of event is this?*

Expected Number of Participants*

Please enter a number greater than or equal to 1.

Do you have a confirmed performer?*

Performer Name (if applicable)

Performer Type (if applicable)

Please include any contact information you may have for your performer (if applicable)

Please indicate any equipment you may need for your event (ex. stage, mics, projectors, etc.)*

Do you need an audio technician?*

Do you need catering?*

Do you have someone to work at the door?*

Have you paid your deposit?*

Any additional questions, comments and/or concerns?