Host's Name (Your Name) *

First Name

Last Name

Phone Number *

(###)

###

####

Event Type (select all that apply) *

Just Because / Home Concert

Birthday Party / Celebration (for someone under 18)

Birthday Party / Celebration (for someone 18-30s)

Birthday Party / Celebration (for someone over 40)

Wedding Shower / Engagement Party / Anniversary

Wedding

Gender Reveal / Baby Shower

Corporate / Business / Office

Small Group / Church Group

Class / Workshop

Retirement Party

Family Reunion / Gathering

Recital / Performance

Graduation Party / Celebration

Other Gathering

Is this event a surprise for anyone involved / invited? *

(If yes, please explain below)

Yes

No

Reason for Request *

"We are requesting more information for Jamie Grace to..."

Attend our event

Sing 1 song

Perform a private concert (30-60 minutes)

Share encouraging words (10-15 minutes)

Take 1-2 photos with guest of honor / host family (less than 5 people)

Meet & Greet with guests, take photos (more than 5 people)

Other (Please explain below)

How many people are invited to this event? *

Less than 20

20-50

50-100

100-200

200-500

500-1000

Over 1000

Are there any tickets being sold to this event? *

No

Yes

We are accepting donations for our church, organization, etc

We will be taking up a love offering for our church, organization, etc

Safety Protocols (please select all that apply) *

Most / All of our hosts/attendees have received the Covid-19 vaccination

Some of our hosts/attendees may have received the Covid-19 vaccination

None of our hosts/attendees have received the Covid-19 vaccination

If local restrictions / guidelines are in place at the time of the event, we will (as hosts and attendees) wear masks in an effort to slow the spread of Covid-19

If local restrictions / guidelines are in place at the time of the event, we will not (as hosts and attendees) wear masks in an effort to slow the spread of Covid-19

We would be in support of Jamie Grace's team if they chose to wear a mask in an effort to slow the spread of Covid-19

We would not be in support of Jamie Grace's team if they chose to wear a mask in an effort to slow the spread of Covid-19

Venue Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country