CNO Hosting

CNO Host Registration

Please use this form to register your interest in hosting a Couples Night Out Event.  Once you have completed the form and click on the submit button,  your details will be sent to Stephanie Vicknair. You will then be contacted to work out any additional details regarding dates, times, additional support with the web, etc.

    Section 1 - about you

    First Name (required)

    Last Name (required)

    Your Email (required)

    Home Address

    City

    State

    Zip Code

     

    Home Phone

    Cell Phone

    Preferred Contact

    Section 2 - about your event

    When would you like to host?

    Which hosting month(s) work best for you? Select all that apply.

    Which hosting options suits you?

    Here's my idea .... (just tell us what you think you might like to do)

    Thank You for signing up as a host for Couples Night Out!  Active participation is what helps our events stay lively and interesting.

    Please complete the sign-up form and use the comment boxes to let me know as much detail as you can.  And if you get stuck or have another question, don’t worry!  You can call me directly on my cell or click the link to email me. 

    We will be looking forward to hearing from you and attending your event!

    Stephanie Vicknair

    TEL  832-545-2542 (Cell)

    E-MAIL  stephlvick@gmail.com