Event Registration Form Use this form to make your initial request for the creation of an event registration form (payment). Questions? Contact Jeramie Carrieri, extension 197. *required fields Staff Member Name* First Last Staff Member Email* Staff Member Phone* Please complete the following:Event name Ministry Campus Bluewater Bay Niceville North Crestview South Crestview Freeport Online Location (building, room) Event Contact person Details/descriptionDate Time event Start Date Time event Ends Date registration is available (beginning and ending) Childcare coordination? Yes No Costs Shelby Financials Income Account # Graphics? Yes No Other informationCAPTCHA Δ