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Suggest a title
Program Planning Form 2024
Program Lead
(Required)
Judy Beacham
Deb Bloom
Cherise Brown
Rhonda Byler
Angie Delgado
Sue Eller
Jeanne Glanders
Zoe Hellman
Pat Kelm
Mary Ann Kempa
Zoe Lang
Debbie Lynn
Cheryl Mann
Jill Martinson
Janell Maust
Allison McLean
Jarret Mitchell
Donna Mitschelen
Amy Pfifferling-Irons
Bevin Redding
Susan Schroeder
Steve Thorpe
Andrea Torres
Trevor Wendzonka
Lori Wolgamood
Other (name will be added to this list by the next magazine)
For outdoor programs, please refer to the Outdoor Events policy for additional responsibilities.
Name
(Required)
Single program or series?
(Required)
Single program
Series
Target audiences – what ages will be served by this program?
(Required)
Preschool – 0-5
School age – 6-12
Teens – 13-17
Adults – 18+
All ages
Program name
(Required)
Date
(Required)
MM slash DD slash YYYY
Day of week
(Required)
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Dates (list as MM/DD)
(Required)
Start time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
End time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Location
(Required)
Cleveland
Downtown
Dunlap
Osolo
Pierre Moran
Other
Off-site location
(Required)
Program description (25-30 words max)
(Required)
What makes this program something people will want to attend?
(Required)
Additional information for supervisors or marketing to know about the program
Is pre-registration on MyEPL.org required?
(Required)
Yes
No
Desired attendance
(Required)
Please enter a number from
0
to
500
.
Partners / sponsors needing listed
Special event insurance
(Required)
Rides, amusement devices, inflatables or recreational devices
Petting zoos or animals
Fireworks or pyrotechnics
Concessionaires, exhibitors or vendors
Concert or musical event (primary purpose of the event; background music or entertainment incidental to the event does not require additional coverage)
Overnight accommodations or camping
None of the above
If this program or series includes any of the choices besides “none,” it will be necessary to obtain Certificates of Insurance and/or Special Event Liability Insurance Coverage. Please speak with the Senior Operations Manager for details.
Proposed budget for program
(Required)
Do you have a guest presenter?
(Required)
Yes
No
Name and contact of presenter
(Required)
How much is the fee?
(Required)
Other necessary equipment, supplies, refreshments or other items needed for the program
