Chapter Event Summary Report
This form should be completed at the completion of each chapter event, and would be compiled into an quarterly & annual report for each District.

NOTE: For “type of event”, give a brief overview of event, like – pool party, trip to zoo, Santa Village visit, general monthly meeting, etc. For anything special that took place, give a brief description of the event, and highlight anything special that was offered or anything of interest that took place.

Report Completed By: *
Your answer
Chapter *
Your answer
District *
Date of Event
MM
/
DD
/
YYYY
Type of Event
Your answer
Attendance (can be estimated) *
Your answer
Were there any MAB in attendance? (MAB represents any medical professionals on LPA's Medical Advisory Board)
If yes, briefly explain how the MAB were involved.
Your answer
Please list any LPA Officers in Attendance
Your answer
Briefly describe the event (1-2 sentences only). And include anything special that took place during this event.
Your answer
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