Event Placeholder Form

Event Info
Event Name
Start Date Start Date / MM / DD YYYY
Start Time Start Time : HH MM AM/PM
End Date End Date / MM / DD YYYY
End Time End Time : HH MM AM/PM
Host Group
Sponsor Group
(if your group is Incipient):
Person Filling Out Form
Legal Name
Phone Phone - ### - ### ####
SCA Name
Email Address
Person's Membership Number
Person's Membership Expiration Date Person's Membership Expiration Date / MM / DD YYYY
Please explain why you are filling out the Event Placeholder form and not the New Event Form:
Type the letters you see in the image below.