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Earth Month in the Heights Registration Form
Please fill out one form per activity if you plan to host more than one event
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* Indicates required question
Email
*
Your email
Organizer's Name
*
Your answer
Organization/Neighborhood Group Name
*
Your answer
What best describes your organization or group?
*
Grassroots organization
Neighborhood group
Club (ie. walking club, biking club, etc)
Non-Profit
*Other (please specify below)
Required
*Other
Your answer
Phone number is optional but it would make it easier to connect
Your answer
Name and description of the event or activity you plan to host
*
Your answer
Choose the word (s) that describes your event or activity best
*
Indoor or Zoom Educational (seminar, chat, forum, presentation)
Indoor Educational with hands on participation (upcycle workshop, "how to xxx")
Neighborhood or green space beautification
Outdoor physical activity (walk, bike, run)
Outdoor hands on workshops (gardening tips, planting trees)
*Other (please specify below)
*Other
Your answer
Proposed date and time
*
Your answer
Proposed location
*
Your answer
How can we help you to make your event a success?
*
Your answer
Next steps
Once your form is received we will contact you to follow up on any questions, needs, ideas, requests you may have
A copy of your responses will be emailed to the address you provided.
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