Event Name*Recurrence One Time Event Meets Weekly Meets Monthly Date(s) of Event*Please enter date(s) as mm/dd/yy OR enter start date (mm/dd/yy) and nature of recurrence (e.g. 01/01/16, every Monday through 01/01/17).If scheduled regularly, please add any other details, as needed.Event Starting Time/ Set Up Time*Event Finishing TimeLocation (Desired)Publish on website calendar? Yes No Would you like to have this event published on our website calendar? How many expected?Contact Person* First Last TelephoneEmail Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code CellContact Staff PersonEquipment required (tableware, AV, etc.)Displays required (easel, poster, table display)Child care needed? Yes No Number of ChildrenAgesAdditional Requests or CommentsOrganization/Committee
