2. Your Name*
4. Your Email*
5. Phone Contact*
7. Event Date*
9. Name of Event *
   If there is no name, please just give a brief description of what it is.
11. Event Location*
    Please be as specific as possible. A street location is preferred, but landmarks are acceptable, such as "The Library" or "The Senior Center"
13. Event Start Time*
14. Event End Time*
    Please estimate if no end time is given.
16. Additional Details
    Any specifics as far as what is happening, who will be there, performances, etc. It is helpful for us to understand what we are to cover, and how to plan for it.
18. Image File Upload
    If you have a poster or image created to advertise this event, please upload it so we may use it in the production if we see fit.
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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field