Eagle Event Application for Church Leaders

            Church Name:   

             Senior Pastor:    email:

             Family Pastor:    email:

                Your Name:    email:

Your association with the church:       Pastor Minister Deacon/Lay Leadership Member Other

 Church Address:   

                    City:    State:    Zip:

     Church Phone:           Church Fax:

Which Seminar/Retreat are you requesting?  Family First Conference The Family Constitution Making Room For Romance Romance In The Ozark Mountains Retreat Single Parent Conference Steve Tucker as Guest Speaker Kingdom Kidz Event with Kim Norton Kim Norton Concert Brad Franklin as Guest Speaker

What dates would you want to hold the event?

What is your average Sunday worship attendance?

Where will the event be held?  Our Church       Other Location

Has your church ever hosted a seminar/retreat/concert before?  Yes    No

        If yes, the please describe the event, and list the date, cost of attending, number of attendees:

This event would be for:  This Church Only        I will invite other churches too.

Have the churches in your area ever co-hosted an event together?

Yes    No     I don't know

Please describe any major events which are going on at other churches in your area, during the date you requested, if any.

Upon review of your application, we will call you to discuss this further.  If we schedule an event, we may need to obtain information from you on the highest rated television and radio stations in your market as well as the most well distributed newspapers.  You may wish to begin gathering this information after submitting your form.  Thank-you.