2023 La Crosse Juneteenth Participation
Thank you for your interest in supporting the 2023 La Crosse Annual Juneteenth Celebration and associated August Ball. Please complete this form and a member of the planning committee will be in touch with you!
Sign in to Google to save your progress. Learn more
Email *
First Name: *
Last Name: *
Organization: (Leave blank if participating as an individual)
Contact Email Address *
Contact Phone Number: *
Would you like to make a monetary contribution (tax deductible)? *
Would you like to Table at the Juneteenth event? *
Would you like to volunteer at Juneteenth?  *
Would you like to make an in-kind contribution? (please describe in answer to next question) *
Please provide any additional details or questions you may have regarding your participation. A member of the planning team will follow up with you shortly. Thank you for your support!
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy