CBST Programming Request Form
Whether you are a CBST member, non-member, or outside organization, please complete this form so we can process your request and get back to you asap! Please allow a lead time of 2-3 months for new events, meaning, we will not be able to guarantee the scheduling of any events that are projected to happen less than 2-3 months from the date of submission. Thank you!

Note that all onsite programming is subject to additional review by internal staff and the CBST medical team, and must adhere to the CBST guidelines for in-person programming.
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Email *
Phone Number *
First Name *
Last Name *
Affiliated Organization (if applicable) *
Please include website if applicable
Are you a member of CBST? *
Are you a member of a team, committee, or affinity group at CBST? *
If so, which team, committee, or affinity group? *
If you are a member of multiple teams, committees, or affinity groups, please list the one relevant to this particular program request. If you are a co-chair or team leader of that particular group, please indicate so in your response below.
Proposed Program Title *
Program Type *
You would like to use the CBST space for: *
Content and Programming *
Marketing and Promotion *
Preferred Event Date *
MM
/
DD
/
YYYY
Preferred Event Start Time *
Time
:
Preferred Event End Time *
Time
:
If this event is recurring, or has multiple dates, please list other requested dates below: *
Are you flexible on date and timing? If so, please list any other possible dates and times that could work. *
Approximate Guest Count *
Event Location on CBST Premises (check all that apply) *
Required
Food & Beverages *
Note that not all food & beverage programming may be able to be accommodated.
Dietary (check all that apply) *
Required
Type of Event *
Required
If this program is not specifically for Families with Children, are children allowed at this event? If so, please indicate what age groups are welcome.  *
Required
What is your budget for this event? *
Is your event of particular interest to LGBTQ or Jewish community members? If so, how?
Use this space to briefly describe the event, let us know how you see CBST playing a role, and to provide any further details. *
A copy of your responses will be emailed to the address you provided.
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