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Home
About Us
Programs
Summer Camp
Partnerships
Rentals
Event Rentals
Spaces & Facilities
Contact Us
Country Club Community Outreach Center
Serving the Community • Empowering Youth • Strengthening Families
Event Scheduling Form
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Event Name
*
Event Date
*
(Today's date, not date of requested event)
Event Type
*
Gym
Venue
Conference Room
Classroom(s)
Other
If Classroom(s), how many?
*
If Other, please describe
*
CONTACT INFORMATION
First and Last Name
*
First
Last
Phone Number
*
Email Address
*
Event/ Catering Information
Requested Date
*
Start Time
*
End Time
*
Expected Attendance (#)
*
Resource(s) Requested
Kitchen
Catering
Tables
Chairs
Projector/ Monitor
Microphone
Podium
Other
If Tables, how many>
*
If Chairs, how many"
*
If Other resource(s), please explain
*
If Tables is selected, Round or Rectangle Shape Tables?
Additional Requested Information
Additional Requested Information
Number If please
Signature
Typed Signature (Type Full Name)
*
Submit
Send Us A Message
Full Name
Email Address
Phone Number (Optional)
Reason for Contact
Program Information
Youth Enrollment
Volunteering Opportunities
Donations / Sponsorships
Partnerships
General Questions
Message
I understand that the information I submit will be used to contact me regarding my inquiry.
Send
Name
Email
Message
Send
Full Name
Email Address
Donation/Sponsorship Details
Phone Number
I want to…
Donate (One-time)
Donate (Monthly)
Sponsor a Program
Corporate Sponsorship
In-Kind Donation
Donation Amount
$25
$50
$100
$250
Other
Submit Donation / Sponsorship Request
Full Name
Email Address
Tell us about your interest
Phone Number
Area of Interest
Youth Mentoring
Tutoring / Educational Support
Community Outreach
Event Support
Administrative Support
Summer Camp Staff
Other
Availability
Weekdays
Weekends
Evenings
Flexible
Submit Volunteer Interest