Santa Clara Post-Event Checklist
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Organization *
Event Facilitator Contact Name *
Event Facilitator Contact Email *
Event Name
Location (Venue)
Location (Address)
Date *
MM
/
DD
/
YYYY
Time *
Time
:
Community Member Attendance
0
1-5
6-10
11-20
21-30
31+
Under 18 years old
Over 18 years old
Clear selection
Water Service Provider Attendance
Name of Water Service Provider, representative in attendance,  and their title
Event Narrative *
Please include description of attendees (age range, demographics, etc.), water topics discussed (drinking water, waste water, storm water, costs, other), community strengths and concerns identified, and general observations about participant engagement, knowledge of water topics and the Integrated Regional Water Management system, and interest in further involvement; successes and/or challenges.
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