Submit Your Request

Name*

First Last

Email*

Event or Project Name*

Ministry or Group:*

How can we help you?*

I need something announced

I need something designed

I need a registration/signup form

Which campus(es) does this apply to?*

I Street

Northwest Omaha

Announcement Details

We'll use the information you provide to advertise through any of the following (this is not an exhaustive list):
- What's Happening Email
- Targeted Email
- Targeted Text Message
- Verbal Announcements
- Social Advertising
- Bathroom Event Stickers

Event Start Date

MM slash DD slash YYYY

Please provide the key date for your announcement. This might be the day an event occurs, or the deadline for a scholarship.

Event Start Time

Hours

Minutes

AM/PM

Provide a time, if applicable.

Event End Time

Hours

Minutes

AM/PM

Provide a time, if applicable.

Hidden

Promotion Date

MM slash DD slash YYYY

Additional Date/Time Information

Let us know if your event repeats, has an end date, etc.

Does your event or activity require assistance from the Production Department?*

This includes, but isn't limited to, lighting, running screens, cameras, running sound, etc.

This is just a reminder that as you plan your event, please reach out to Patrick to discuss your production needs.

Announcement Description*

Please provide us with details of your announcement. We'll use this as a starting point for our communication, so please provide as much detail as possible. Include any sign-up deadlines, prices, etc. Please don't ask us to reference a communication request for a previous event. This can lead to date/time errors.

Location

If applicable, enter location or room name.

How would you like this on the website?

Website Calendar

Announcements Page

Other Website Page

Deadline*

MM slash DD slash YYYY

What's the deadline for adding this to the website?

What website pages should this be added to?

Page URL	Actions

There are no Pages.

Maximum number of pages reached.

Design

Let us know what we can create for you. Pick add item to begin.

What would you like designed?	What sign would you like?	What size flier / handout would you like?	Actions

There are no Items.

Maximum number of items reached.

File

Drop files here or

Max. file size: 20 MB.

Create a Form

Enter the information you'd like included on your form, and Dina Newsom will create your form.

What fields would you like on your form?*

Name

Child's Name

Spouse's Name

Age/Date of Birth

Shirt Size

Allergies & Medical Info

Phone

Street Address

Childcare

Payment

Liability & Photo Release

Chaperone Signup

Emergency Contact Info

Grade

When should registration open?*

MM slash DD slash YYYY

When should registration close?*

MM slash DD slash YYYY

Payment Options

Cost

If Applicable

Is payment required?*

Any additional comments about payments?

If you'd like to cap registrations, enter a number

Notifications

Would you like to receive email notifications for registrations?*

What email address should receive the registration notifications?*

We've gone ahead and plugged in the email address you provided earlier, but feel free to adjust it if notifications should go to somebody else.

Would you like registrants to receive a confirmation email?*

What would you like the confirmation email to say?*

Other Details

Who should have access to view signup details in Planning Center?

Are there any other form details we should know?

If you need other fields/questions on your form, please note them here.

Request Your

CREATIVE & COMMUNICATION

Request Form

Announcement Details

Design

Create a Form

Payment Options

Notifications

Other Details