First Name

Last Name

Email

Phone

Requested Date(s)

Event Location

Is your event hosted through your church or group?

Yes

No

What church/group?

Is your event private or open to the public?

Private

Public

Who will be handling online registration?

My Organization/Ministry

Zoweh (Additional $500 fee)

Unsure at this time

Estimated number of attendees

I have read and understand the host requirement detailed above

Leave this field blank