Safe Summer Partner Enrollment 2024
Sign in to Google to save your progress. Learn more
Email *
Your Title 
Your organization name  *
Number Of Employees 
Clear selection
Duration of Organization Existence 
Clear selection
Type of Organization? *
Submit Logo
Social Media  *
Local Media Contract  *
Local Elected Officials (City and State)  *
Your Geographic area? *
Type of event  *
List the date for your Safe Summer events  *
Food/ catering  *
Please identify the type of support needed? 
Event Space: *
Event Age Range   *
Are you planning to attend the May 30th Safe Summer Presser? *
Will someone speak on the behalf of your organization at The Safe Summer Presser? ( Spots are limited spots)
Thank You for taking the time to complete this survey!

Please remember to collect your complimentary case of water starting June 5.

To be eligible, organizations must enroll in the CCD collaborative database by completing the survey, partner organizations must commit to shouting out to the CCD Safe Summer2024 /Be The Change Water initiative and display CCD’s logo on your Safe Summer events flyers. 

Water distribution will occur Monday to Wednesday, between 9 AM and 5 PM at the CCD main office.

Remember, to receive the free case of water, please follow the perimeters above. 

Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of aboutccd.org.