2. What
4. Title of Event
5. Name of Your Agency/Organization
7. Description (Please include a sentence or two. We will promote the event the way you describe below).
9. Event contact person
10. Phone number
12. Email address
14. Where
16. Location of event
18. Street Address
19. City
20. Zip Code
22. Meeting/parking instructions
24. When
26. The Rowan Creek Week Planning Committee will strive to schedule your event on your proposed date/time.
28. First choice date/time
    First choice date/time Start Date

    First choice date/time Start Time

    —

    First choice date/time End Date

    First choice date/time End Time
30. Additional Information
32. How
34. Do participants need to register for your event?

    1. Yes
    2. No
35. Registration instructions
37. To register, participants should contact:
38. Phone number
40. Email address
42. Is there a fee to participate in your event?

    1. Yes
    2. No
43. Cost details
45. If other, please specify
47. Is there any type of renewal, certification, or continuing education credit available by participating in your event?

    1. Yes
    2. No
49. If yes, please specify
51. Marketing & Promotion
53. Rowan Creek Week will promote all events on our website, www.rowancreekweek.org, and on social media using the hashtag "#rowancreekweek". Please help us promote your events by completing this section.
55. Website address
57. Social media accounts
59. We would like to add your logo to our website as well as have it printed on our t-shirts and other promotional materials. Please provide a full-color logo for web promotion and a vector logo file (if possible) for professional printing.
60. Logo File
62. Please share any images that we may use to help promote your event
63. Image for Promotion
65. Please list other individuals or agencies assisting you with this event (if applicable)
67. Presenters/workers will be given a Creek Week t-shirt. Please specify below the number of shirts needed and their sizes.
69. Number of Creek Week t-shirts needed for presenters/workers
    -- Select One --12345
71. T-shirt Size
    -- Select One --Adult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-Large
73. T-shirt Size
    -- Select One --Adult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-Large
75. T-shirt Size
    -- Select One --Adult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-Large
77. T-shirt Size
    -- Select One --Adult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-Large
79. T-shirt Size
    -- Select One --Adult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-Large
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81. 1. Receive an email copy of this form.
82. Email address

    This field is not part of the form submission.

83. Submit Submit and Print

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