Community Center Event Check-in
Please complete this form to check in for your event at the community center.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Which event are you attending today?
*
Please Select
Art Workshop
Community Meeting
Fitness Class
Youth Program
Senior Activities
Other
Date of Visit
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Arrival
*
Hour Minutes
AM
PM
AM/PM Option
Are you attending as part of a group or organization?
*
Yes
No
If yes, please provide the group or organization name
Number of people in your group (including yourself)
*
Emergency Contact Name (optional)
Emergency Contact Phone (optional)
Please enter a valid phone number.
Format: (000) 000-0000.
How did you hear about this event?
Please Select
Community Center Website
Social Media
Flyer/Poster
Friend/Family
Other
Would you like to receive updates about future events?
Yes
No
Please share any feedback or suggestions for our community center or this event.
Check In
Should be Empty: