CECS Community Event Attendance Request Form
This form serves as a formal request for a representative of the County Executive's Office to attend your upcoming event. Submission of this form does not guarantee participation. All requests are subject to review and scheduling constraints. It is recommended that requests be submitted a minimum of 21 days or three weeks prior to the scheduled event. While every effort will be made to accommodate late submissions, scheduling becomes increasingly challenging.

Please note that our office prioritizes outreach to communities that have demonstrated high need such as Community and Title 1 schools and communities with socio-economic challenges.
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Event Name *
Please confirm that the event you are inquiring about is free and open to the public: *
Event Purpose *
Hosting Organization(s):  *
Please Check All That Apply To the Hosting Organization(s): *
Required
Event Date
Please try to submit your event at least 4 weeks in advance.
 *
MM
/
DD
/
YYYY
Event Start Time *
Time
:
Event End Time *
Time
:
Venue Name *
Venue Address *
Expected Number of Attendees *
Contact Name
Please include the first and last name and title of the contact
 *
Contact Email *
Contact Phone *
How is the Event being promoted?
Is this an indoor or outdoor event?  *
How frequently does your Event occur? *
Please provide any additional information you believe may be relevant to share with CECS:
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