The Family Van

Home > Schedule & Services > Request Special Event

Request Special Event

Please be sure to check the calendar to see if your date is available before requesting your event.

(* indicates required field)

Requesting Agency’s Information

Name of Contact

Title of Contact

Agency or Organization

Address

Telephone Fax

Email Address*

Event Information

Name of Event

Date

Rain/alternative Date

Time(s) Van is needed

Location

Address

Indoor Outdoor

To help us better prepare for this event, please answer the following:

What is the Purpose of the Event?

What group or groups are being focused on at this event?(e.g. women and infants, children, teens, elderly, etc.)

Besides English, what languages will be represented?

How many people are expected to attend this event?

What other agencies or organizations will be participating or are expected to attend?

What types of outreach and/or advertising have been done in preparation for this event?

Date by which we should confirm our participation in this event?

Jump to Navigation