ACTIVITY REQUEST FORM

Submit one Form for each Activity Request

Application Deadline - September 1, 2024

Business Name:

Type of Activity: (Pickle Ball, Quilt Display, Cornhole, Karaoke, etc.)*

Special Requirements:

Cost of Activity:

$

Class Size Limit:

Electrical Outlets:

Type of Venue needed:

Number of Chairs:

Number of Tables:

Activity DESCRIPTION for RALLY Program (35 Words or Less)

SCHEDULING PREFERENCES (Submit one form for each activity session)

All Activities are allotted 1 hour

Pick your preferred days:

Friday am

Friday pm

Sunday am

Sunday pm

We will provide tables, chairs, and electricity. Any special Audio/Visual equipment needed by the presenter, will have to be furnished by the presenter. We will have volunteers to assist in passing out materials etc. but they should not be expected to assist in teaching the class.

CONTACT PERSON: (Where activity presenter can be reached)

Name:*

Address:

City:

State / Province

Zip

Email Address:*

Cell Phone*

SUBMIT Activity Form any time before September 01, 2024