Community Education Program
Please make sure to fill in everything that applies and submit with at least 3 weeks before the event. If your event is in less than 3 weeks we will work with to see if it is something we are able to attend.
Event Date
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DD
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YYYY
Agency or Community Partner
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Event Name
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Contact Person
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Email
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Phone #
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Setup time
Time
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Start Time
Time
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Event Duration
Hrs
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Min
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Sec
Expected # of Participants
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Event location and directions (please include address and cross streets):
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