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KCCC Census Outreach Activities
Please fill this out to report upcoming (or completed) events where KCCC Census outreach occurs.
Email address *
Your Name *
Your answer
Event Name
Your answer
CCC promoting the event or activity (eg: Dodge City CCC)
Your answer
Date of event or activity *
MM
/
DD
/
YYYY
Hard To Count audience being reached *
Required
Other notes/comments
Your answer
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