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2. Organizer First Name*
3. Organizer Last Name*
5. Organizer Email*
6. Name of event*
8. Date and time of event*
   Date and time of event Start Date

   Date and time of event Start Time

   —

   Date and time of event End Date

   Date and time of event End Time
10. Location of the event*
12. Expected number of attendees
13. Age range of attendees
15. What would you like at your event?*

    1. Hot Dog Wagon
    2. Ambulance
    3. Bike Team
    4. Recruitment Table
    5. Mascot
    6. Other (please explain below)
17. Explanation
    If you checked "other" above, please explain here.
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19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

* indicates a required field