Program Description and Confirmation Form

To include your program in the Calendar of Events, send this completed form to the THIS office BY THE DEADLINELISTED BELOW. You may wish to photocopy the blank form for future programs and keep a copy of this completed form for your own records.

CALENDAR DEADLINES FOR PROGRAMS
Calendar / Calendar Deadline
September, October / Mon., Aug. 4, 2015
November, December / Mon., Oct. 5, 2015
January, February / Mon., Dec. 7, 2015
March, April / Mon., Feb. 1, 2016
May, June / Mon., Apr. 4, 2016

Title of Program: ______

Coordinating Committee:______

Committee Chair: ______Phone(s): ______

Program Chair: ______Phone(s): ______

Program Co-Chair: ______Phone(s): ______

Day and Date of Program: ______

Time of Program: ______to ______Fee: $______(including $12 Admin. Fee)

Maximum Attendance limit: ______

Location AND address of Program: ______

Volunteer in charge of transportation: ______Phone(s):______

Volunteer in charge of nametags: ______Phone(s): ______

Volunteer in charge of photography: ______Phone(s): ______

Volunteer assisting with nametags: ______

Volunteer to contact the day of the program: ______Phone(s): ______

Please continue to next page…

Description of Program to include in the Calendar:______.

Special instructions (such as parking, metro accessibility, appropriate attire, security info etc.):

______

______

______
______

______

______

Directions from DC, Maryland, and Virginia as well as a map of the area (except if held at Meridian):

______

______

______

Many times maps and directions can be found on brochures or websites of the location hosting the program. If it is a person’s home we recommend that whomever’s home it is please review the directions before submitting them to the office.

Program Pricing Worksheet

Be sure to include all costs, including in-kind contributions. Please include this form with the Final Report for Program.

Event: ______
Event Day and Date: ______

Coordinating Committee and Chair: ______
Program Chair: ______

Vendor Contact Information (e.g. restaurant, museum, tour office): ______

Required Deposit (s) $______Deposit Due Date: ______

$ ______Deposit Due Date: ______

Final Payment $ ______Final Payment Due Date: ______

Food: $______
Beverage:______

Meridian Fees (Please see MIC Program Set-up Form):______

Paper supplies (e.g., napkins, plates, etc.):______

Printing:______

Music (e.g., band, DJ): ______

Decorations (e.g., flowers)______

Supplies for a demonstration (e.g. flower arranging, cooking):______

Entry fees (e.g., museums, tours, shows):______

Gift to Host/ess:______
Other:______

TOTAL: (this is the real cost to THIS for the program) $______

6/2015