YOUR INFORMATION
First Name
Last Name
Email
Phone
Base Setup DO NOT TOUCH
EVENT INFORMATION:
Name of the Event:
Date of Event:
(mm/dd/yyyy)
Start Time of Event
End Time of Event
Is this event open to the public?
Yes
No
Is Child Care provided for this event?
Yes
No
Is food or refreshments provided at the event?
Yes
No
Event Location:
Event Address:
City
State
Event Description
HOST INFORMATION:
Host Organization:
Are you the contact for Hosting this event?
Yes
No, it is someone else
Host Contact Name:
Host Contact Email
Host Contact Phone:
Host or Event Website:
How will people RSVP?:
Please select...
Contact Host
Email Address
Registration Link (OMC Provide)
RSVP Not Needed
Web Page
Please list the benefiting OMC program:
Please select...
OMC-General
Anti-Trafficking
Child Hunger
Diaper Drive
Foster Care
Global - Child Sponsor
Mothers Day Offering
Rise for Life
Single Moms
Struggling Family
Women of Compassion
Please upload any event graphics or fliers to assist us in promoting this event: