Be Ready Utah Event Request
Complete this form to request the attendance of a Be Ready Utah outreach specialist to provide an emergency preparedness presentation or booth for your organization. Submit request at least 2 months in advance of event.
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Email *
Name of Organization *
Name of Event
Type of Event *
Expected Attendance *
Type of Presentation (60 + minutes each) *
Location (address) of the event *
This helps us get to the event location for in-person events. If the event is virtual just say "Virtual"
Zip code of event location *
If virtual what is the zip code of the location you are hosting your virtual event from?
County of event location *
Enter the county location of your event. If virtual what is the County of the location you are hosting your event from?
Date of the event *
MM
/
DD
/
YYYY
Does this date allow for two (2) months notice from date of event? *
Start time of the event *
Time
:
End time of the event *
Time
:
Name of contact person *
Phone number of contact person *
Email of contact person *
Special instructions
Provide any additional details that may be needed. For example: if its indoors or outdoors, any special directions to get there, what is being provided vs what needs to be brought like: presenter needs (computer, projector, screen, etc.), or booth needs (table, chairs, access to power supply, etc), or how much space will be provided.
Where did you hear about Be Ready Utah? *
Required
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