Local Event Submission Form
Children's Week would like to help you publicize and promote your local event to advocates and media outlets statewide. Your information will be posted on the Children's Week website, and in press releases, so that others can learn more about your event and attend.

To have your event posted on this site and receive maximum statewide exposure, please complete and submit the information below. Submitting this form provides you with the opportunity to receive statewide visibility and exposure for your local event by working together with United Way of Florida and over 120 leading businesses and non-profit organizations across the state to promote Children's Week.

You will also receive complimentary promotional materials, exclusive products, helpful toolkits, technical assistance, and the opportunity to promote your event through television and radio advertisements.

Please complete the form below:

Email address *
Name *
Your answer
Organization *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Event Name *
Your answer
Event Date *
MM
/
DD
/
YYYY
Event Time *
Please list start and end time.
Time
:
Event Venue Name (if any)
Your answer
Event Address
Your answer
Event City
Your answer
Event State
Your answer
Event Zip
Your answer
Event County
Your answer
Event Description *
Your answer
Website *
Your answer
Facebook
Your answer
Twitter
Your answer
Video Link
Your answer
T-Shirts
Up to 10
Your answer
Shirt Sizes
Please enter quantity of each of the following sizes: small, medium, large, extra large
Your answer
Books
Up to 25
Your answer
Bookmarks
Up to 25
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms