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 nameMinistryCampus Bluewater Bay Niceville North Crestview South Crestview Freeport Online Location (building, room)Event Contact personDetails/descriptionDate Time event StartDate Time event EndsDate registration is available (beginning and ending)Childcare coordination? Yes No CostsShelby Financials Income Account #Graphics? Yes No Other informationCAPTCHA Δ