Event Request Form (Community Engagement)

Organization Name

Contact Name

Phone Number

Email Address

Event Start

Event End

Number Of Attendees Expected

1-25

30-75

100+

Other…

Type of Request

Event Location Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Please provide a short description of your meeting or event

Is this your first time hosting an event?

Yes

Is this an indoor or outdoor event?

Indoor

Outdoor

Both (indoor and outdoor)

Have you discussed this event with other County agencies? If yes, please list.

Yes

Please List the Agencies

Is there an exhibitor fee?

Yes

Councilman District

District 1

District 2

District 3

District 4

District 5

District 6

District 7

District 8

District 9

You can find your District Here

Event Flyer

One file only.
256 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

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