Mid-South Tennessee - Community Event Request Form
It is the goal of the American Red Cross to fulfill all event requests. Event requests are reviewed on a bi-weekly basis, however, due to conflicting event schedules and volunteer/staff availability, we are not always able to fulfill all requests.
Request Type:
Speaker
Information Table
Other
If other, please specify:
Name of Organization:
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Number of employees/members of organization:
Does your organization currently have a contact person at the Red Cross? If so, please list:
Event Name:
Event Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Event Setup Time:
Hour Minutes
AM
PM
AM/PM Option
Event Start Time:
Hour Minutes
AM
PM
AM/PM Option
Event End Time:
Hour Minutes
AM
PM
AM/PM Option
Event Location Name:
Event Address:
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
How many years have you been doing this event?
Is the event indoor or outdoor?
Anticipated number of attendees:
Number of Red Cross representatives requested:
Free food provided to vendors?
Yes
No
Free parking provided to vendors?
Yes
No
Available on site:
6' - 8' tables
Chairs
Electricity
WiFi
None of the above
Check-in, parking, and other special instructions (i.e. wi-fi connectivity instructions):
Will vendors have the opportunity to give away door prizes?
Yes
No
Special event expectations:
Submit
Should be Empty: