Victory Assembly of God
Activity Request Form
Page 1
page 1 of 1
Coordinator name, phone number, email: *
required
Activity Title: *
required
Date and Time of Activity: *
required
Location (if at Victory, which rooms will you use): *
required
Set up time needed (date and times): *
required
Transportation Required? *Activity Permission Slip required for everyone under 18. *
select one
Select one
yes
no
Transportation Arrangements:
required
Instructions/Information for Publicity
required
* required