Send news release on: _________________________________________________________________

Program Title: __________________________________________________________________________

Theme (if applicable) ___________________________________________________________________

• Goal 1: ____________________________________________________________________________
• Objectives:
• ________________________________________________________________________________________
• ________________________________________________________________________________________
• ________________________________________________________________________________________
• Goal 2: ___________________________________________________________________________
  
• Objectives:
• ________________________________________________________________________________________
• ________________________________________________________________________________________
• ________________________________________________________________________________________

Target audience: Ages: ________________     Optimal group size: _____________________________________

Date(s) and time: ____________________________________________________________________________________

Location(s): __________________________________________________________________________________________

Person responsible: _________________________________________________________________________________

Other staff and volunteers needed: _________________________________________________________________

Estimated planning and preparation time: __________________________________________________________

Program time length: ________________________________________________________________________________

Description of program: ______________________________________________________________________________

________________________________________________________________________________________________________

Total costs of materials and supplies: ________________________________________________________________

Speaker/performer name: ____________________________________________________________________________

                           Address: ____________________________________________________________________________

                             Phone: _____________________________________________________________________________

                             E-mail: _____________________________________________________________________________

                               Cost: __________________________     Confirmed: ____________________________________

                 Reminder call: _____________________________________________________________________________

Thank you/payment sent: ____________________________________________________________________________

Publicity (check when finished: attach samples:

               News release(s): _____________________________________________________________________________

               Newspaper photographer/media contacted: _______________________________________________

                           Posters: ________________________     Flyers: ___________________________________________

                           Plan for distribution: ________________________________________________________________

Room arrangement: __________________________________________________________________________________

Equipment needed: ___________________________________________________________________________________

Refreshments: What? ________________________________    Cost: _________________________________________

                                   ________________________________            __________________________________________

Pick up at? ______________________________  Funded by? _______________________ Reimbursement: _______