Event Request Form

This form is not a guarantee for reservation of space. You will be contacted within one week of receipt of this form concerning the status of your request. Any questions should be addressed to Events Coordinator, Emma Dean Moseley, at emma@cpcaustin.org.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Event Start Date*

Event Start Time*

Name of Performer or Group*

Sponsoring Organization (if any)

If a non-profit, please provide your Tax ID number.

Name of Contact*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Enter Email Confirm Email

Phone*

Total time needed (from arrival to lockup):*

Sound system needs:*

Rehearsal date(s) and time(s) (if needed):

Will the church piano be used?*

Yes

Will admission be charged?*

Yes

Space requested:*

Sanctuary

Smoot Fellowship Hall

Courtyard

Other information or requests:

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