Palama Settlement - Event / Activity Planning Form Event Planning Form Planning Guide - Logistics / Goals / Needs / Approvals Submitter Information Name* First NameLast Name Email* example@example.com Event Information Event Title* Event Date* -Month -DayYearDate Location of Event Please Select Upstairs - Rec Room Upstairs - Tutoring Room Downstairs - Teen Room (Larry) Gymnasium Outside - Covered Park Benches Outside - Other Other Event Start Time* Hour Minutes AM PM AM/PM Option Event End Time* Hour Minutes AM PM AM/PM Option Repeating Event* Please Select No Yes - Indicate cadence in "Description of Event" Description of Event* Event Category* Expressive ArtsWellness SupportRecreationEducationTrade SkillProfessional DevelopmentCultural AlignmentOther How many youth is event / activity designed for (ideal attendance size)* Have you discussed with Palama Staff?* Please Select Yes No Which Palama Staff Member(s) have you discussed and coordinated with?* What is the goal of your event / activity? (i.e., express emotions through creative activities, engage youth in teamwork-based activity, strengthen technical / real-life skills, etc.)* Please describe any event / activity support you need from other interns / supervisors or Palama Staff. Additionally, please indicate if any part of your event / activity may pose any type of risk that Palama Leadership needs to be aware of (if no, please indicate so).* Event / Activity Budget Description Amount ($) Req'd From HD Therapy Covered by Palama (Insert "Yes" if Applicable) Supplies Item 1 Supplies Item 2 Supplies Item 3 Supplies Item 4 Supplies Item 5 Other Needs (Describe Below) Giveaways (Gift Cards) Event Collateral Handout for Youth Have you created an event flyer (Required)* Please Select No - In-Progress Yes - Submitted Upload Event Handout Browse FilesDrag and drop files here Choose a file Cancelof Submit Should be Empty: