Active Streets + 352Creates - Activity Leader Participation Interest Form
Join Active Streets + 352Creates Sunday, February 25th 11am-3pm in downtown Gainesville, Florida.

Have questions? Please email Info@ActiveStreetsAlliance.org + keslch@shands.ufl.edu

Business/Organization/Group Name *
Your answer
Address *
Your answer
Organization Type *
Activity Leader Type *
First Name of Primary Contact *
Your answer
Last Name of Primary Contact *
Your answer
Primary Contact Email Address *
Your answer
Primary Contact Phone Number *
Your answer
How does your organization communicate with the public? *
Select all that apply
Required
Has your organization participated in a prior Active Streets or 352Creates Event? *
Does your organization have an activity in mind for participants? *
Please describe and explain how it meets the requirement for 'active' or 'creative' participation.
Your answer
What is the maximum space required for you activity? *
(e.i. 20 feet by 40 feet for bike polo demo)
Your answer
What is the minimum space required for your activity? *
(e.i. 10 feet by 10 feet for tent)
Your answer
Do you understand that you will need at least 2 people to work your station on the event day? *
Do you agree to provide a representative to meet with the Planning Committee & other Activity Leaders prior to the event for instructions? *
(These instructions will include day-of information, your responsibility to promote your participation in the event, and other details specific to creating a fun & safe environment for participants.)
Please provide your business's mission statement or a brief statement we can share with anyone asking to know more about your business. *
Your answer
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