COMMUNITY SERVICES - Event Request for McGruff

Event Request for McGruff Appearances

1. Event Title:

2. Event Date: This question requires a valid date format of MM/DD/YYYY.

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3. Event Time:

4. Physical Address of Event Location:

5. Other Agencies Participating:

6. Expected Attendance:

7. Event Coordinator Name/Title:

8. E-mail Address: This question requires a valid email address.

9. Organization:

10. Mailing Address:

11. Telephone/Fax:

12. Please provide a brief description of your event's planned activities. Target audience, ages, etc.