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Events & Experiences Planning Form

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Items you will need to complete this form:

Event Lead Person name and contact information
Venue information
- Name
- Address
- Photos
- Parking information
Event date/time.
Intended audience.
Sponsor logos (if any)
Financials - invoices, desired payment method
Certificate of Insurance (if alcohol is being served)
An assigned person for photographs and headcounts

Have you had this event and date approved Leadership Florida Staff? *

Yes
No

Please email or call Morgana Nieves to discuss your event and ensure the date does not coincide with other Leadership Florida events.

Morgana Nieves

mnieves@leadershipflorida.org

Cell: 786.251.1641

Region Event Planning Form

Your Name *

First

Last

Your Email Address *

Your Region *

Are you the main event point of contact? *

Yes
No

Event Point of Contact Name *

First

Last

Event Contact Email Address *

Event Contact Phone *

Event Information

Event Name *

Event Start Day/Time *

Date

Time

Event End Day/Time *

Date

Time

Event Location *

Address Line 1

Address Line 2

City

State

Zip Code

Event Details *

Write a brief description of this event (appetizers being offered, parking information, members need to pay for admission, etc.)

Venue Photo Upload 1

Click or drag a file to this area to upload.

Please upload a picture of the event venue to be used on the invitation.

Venue Photo Upload 2

Click or drag a file to this area to upload.

Please upload a picture of the event venue to be used on the invitation. If you have more than 2 venue photos, email your other photos to communications@leadershipflorida.org

Event Parking Details

List any parking details that attendees will need to know prior to the event.

Audience: Is this a member-only event?

All Region Members - All members will be invited to the event. Only dues-paying members may attend events, except under special circumstances.
All Region Members and Guests - Guests include spouse/significant other and immediate family
Region Members and Potential Class Candidates - November through mid-February only
All Statewide Members - Must have prior approval
Other

Audience: Other

Funding and Insurance

Does this event have local sponsors? *

Yes
No
Still Confirming

Please, list sponsor names below *

Sponsor Logo Upload 1

Click or drag a file to this area to upload.

Please upload logo(s) for any local sponsors here.

Sponsor Logo Upload 2

Click or drag a file to this area to upload.

Please upload logo(s) for any local sponsors here. If you have more than 2 files, email your other logos to communications@leadershipflorida.org

Will alcohol be served at this event? *

Yes
No

Does your event venue require a certificate of insurance from Leadership Florida? *

Yes
No

Please provide further details below, including the name(s) of any additionally insured. Note that the approval process can take up to one month, so if a certificate is needed, please let the Member Services team know as soon as possible. *

Briefly explain how you will be paying for expenses associated with this event, and any revenues expected. Or provide a budget. Possible expenses include catering, speaker fees, transportation, or venue rental. When getting quotes from vendors, please include the Leadership Florida tax exempt certificate. Funding sources can be funds raised locally by your Region Fundraising Chair, or in-kind donations. Be sure to verify your Region account balance to ensure that you will have adequate funds available. *

Payment Method

I would like Leadership Florida to pre-pay expenses
I will use personal funds and will request reimbursement
We have no expenses
Other arrangements

Please explain here

Let's Make it Happen - Details

Distribution Date of Initial Invitation - Please allow 3-4 business days. *

Will the Region Communications Chair (Co-Chairs) be on-site to take photos/videos? *

Yes
No

Who will be the event photographer/videographer?

Have you designated a council member to report back an attendance count? *

Yes
No

Is assistance required from Leadership Florida Staff other than services listed above? *

Yes
No

Indicate below *

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