1.	NAME OF YOUR SCHOOL*

2.	NAME OF YOUR DEPARTMENT/ORGANIZATION/TEAM*

3.	YOUR FIRST AND LAST NAME*

4.	PHONE NUMBER*

5.	EMAIL ADDRESS* Name Phone number

6.	DID YOU RECEIVE PERMISSION TO PUBLIZE THIS EVENT*
	YesNo

7.	TITLE OF YOUR EVENT

8.	DESCRIPTION OF YOUR EVENT*

9.	DOES EVERY STUDENT HAVE A PHOTO/VIDEO PARENTAL RELEASE FORM ON FILE?*
	YesNo

10.	DATE OF YOUR EVENT*
	mm/dd/yyyy

11.	START AND ENDING TIME OF YOUR EVENT*

12.	LOCATION (CAFETERIA, CLASSROOM #, LIBRARY, ETC...)*