Primary Contact Name (required)
Primary Contact Phone Number (required)
Primary Contact Email (required)
Group Name (required)
Meeting Day (REQUIRED: You may enter one or many) SundayMondayTuesdayWednesdayThursdayFridaySaturday
Meeting designations: IndoorsOutdoorsMasks requiredSeating 6ft apartMax # of people (add how many in notes below)Contact tracingReplaces Zoom meetingHybrid meeting (Zoom & In-person combined meeting)Simultaneous meeting (Zoom & In-person meet separately)
Other notes? Indicate max number of people here.