DISCONTINUED JULY 1, 2020
Please fill out this form to request a date for your event or programming.  This form is filled out once your committee liaison and committee chair approve the idea from your committee.  

If you have questions about this form, please contact Nathan Smuckler at nsmuckler@templerodefshalom.org.


Sign in to Google to save your progress. Learn more
Email *
                                                 Construction Alert
If you are planning a program at TRS, your program request may be denied, moved, or cancelled due to the construction scheduled from July 2019 - August 2020.  If you need a list of appropriate alternative event venues, please contact Nathan Smuckler at nsmuckler@templerodefshalom.org.  
Who is the point of contact for this event or program? *
Point of contact e-mail address: *
What is the title of your event or program? *
What is the start date of your event or program? *
If you have a recurring program please submit the date of the first program here.
MM
/
DD
/
YYYY
What is the start time of your event? *
If you have a recurring program please submit the time of the first program here.
Time
:
What is the end date of your event or program? *
If you have a recurring program please submit the date of the first program here.
MM
/
DD
/
YYYY
What is the end time of your event or program? *
If you have a recurring program please submit the time of the first program here.
Time
:
How many people do you anticipate at your event or program?
What is your event or program description? *
You do not need to submit your ready-for-print description.  Tell us a little about what you're doing in the program for now.
Will your event or program be held at Temple Rodef Shalom? *
Are you a Temple Rodef Shalom Staff member? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy