Operation: Military Kids

Event Request Form

PLEASE NOTE: This form does not guarantee OMK support for any events. An available OMK representative must be located before confirmation can be given. This form must be filled out in its entirety and returned no later than two weeks prior to the event requested. Only children and youth in grades K-13 are eligible for OMK programming and must be supervised by non-OMK adult volunteers. Direct questions and completed forms to:

Kelly Elam

OMK Project Coordinator


973-285-8300 x234

P.O. Box 900

Morristown, NJ 07963



Event

Name: ________________________________________________________________________________ Date: _______________________ Town: ____________________________________________________

Location: ______________________________________________________________________________

Point of Contact

Name: _______________________________________ Title: ____________________________________

Phone: (_____)_________________________Day of event phone number: (____)____________________


Email: ________________________________________________________________________________

Details

Event time frame (example: 10:00am-12:00pm):_______________________________________________

OMK support time frame (example: 11:00am-12:00pm): ________________________________________

Estimated number of youth grades K-13: ____________ Estimated number of adults: _________________

Service Requested (please check all that apply and answer questions):

q Display table (Includes display board, informational handouts, and dog tags.)

o Duration (example: 1 hour): _____________________________________________

o Location (Indoors/Outdoors): ____________________________________________

o Will a table be provided? _______________________________________________

q OMK speaker (Presentation of OMK programs and opportunities.)

o Length of presentation: _________________________________________________

o What AV equipment will be available? ____________________________________

o Is there a particular audience interest? _____________________________________

q Programming (Educational workshops for children ages K-13.)

o Length of workshop: ___________________________________________________

o Location (Indoors/Outdoors): ____________________________________________

o Room size: __________________________________________________________

o Room set-up:_________________________________________________________

o Electrical outlets: _____________________________________________________

o Ages of anticipated attendees (example: K-3): _______________________________

o Number of non-OMK adult volunteers provided:_____________________________