Event Request Form

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Oasis Event Request Form

Thank you for your interest in having Oasis attend your event.

Please complete the form below to help us best determine how to serve the community.

Click Submit when finished.

Organization Name*

Organization Type

For-profit

Non-profit

Contact Name*

Telephone*

Email Address*

Event Name*

Event Location Address*

Address Line 2

City*

State*

Event Date*

Open the calendar popup.

Start Time*

End Time*

Event Fee

Yes

Fee Comment

Speaker Honorarium

Yes

Speaker Honorarium Comment

Event Description

Presentation/Speaking engagement

Table/Booth

Topics (Check all that apply)

Oasis Overview (all programs)

Volunteer Opportunities

Oasis Health Programs

Medicare Counseling/Marketplace

Oasis Tutoring Program

Table/Booth Type (Check all that apply)

Materials with staff or volunteer present

Health screening

Materials only

Materials Needed (Check all that apply)

Catalogs

Health fliers

Arts/Humanities fliers

Volunteer information

Expected Audience (Check all that apply)

Professionals

Older adults

Independent Living

Assisted Living

Comments About Your Audience

Special Instructions

Submit

* Required

Contact Us

St. Louis Oasis at the Center of Clayton
50 Gay Avenue
St. Louis MO, 63105
314-862-4859
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