Communications Request Form

Deadline: 4 weeks BEFORE you want to START advertising your event.

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PROGRAM/EVENT Information
Name of Program/Event*
Start Date*
Start Time*

: HH

MM
End Date*
End Time*

: HH

MM
Location*
Event Cost*
One-Sentence Description*
Description of Program/Event*
Include why people should be interested in your event and how it will benefit them.
Is this a fundraising event?*
- Yes
- No
Target Demographic*
Is registration required?*
- Yes
- No
Do you need online registration?
- Yes
- No
Registration Deadline + How to Register
Will childcare be provided?*
- Yes
- No
What ages and what's the cost?
Point of Contact for Program/Event*
First Last
Point of Contact Email*

Inspiration
Webpage
Is there a webpage that inspired you for this program/event?
Additional Webpage
Is there a webpage that inspired you for this program/event?
Additional Webpage
Is there a webpage that inspired you for this program/event?
Do you have any pictures/files that have inspired you for this event?
Maximum of 5 files.
Drop files here or

Accepted file types: jpg, png, pdf.
Any additional info that hasn't been provided on this form?

YOUR Information