Register your Juneteenth Event -
Registration Form for Illinois Juneteenth Events and meetings Across The State. Illinois Juneteenth Committee will review your entry and if qualified, will post your event within 2 business days. If you have questions or need to request an edit, please send and email to iljuneteenth@gmail.com. Thank you! Official National Juneteenth Observance Foundation Statewide Leaders
Sign in to Google to save your progress. Learn more
Email *
Today's Date
MM
/
DD
/
YYYY
Name - Contact Person *
What County in Illinois do you live in? *
What City in Illinois do you live in? *
I am interested in participating in ongoing discussions around Juneteenth event planning *
Do you currently host Juneteenth events? *
Title of Event or Not Applicable (N/A) *
Date of Juneteenth Event or Not Applicable (N/A) *
MM
/
DD
/
YYYY
Time of Event or Not Applicable (N/A) *
Time
:
Venue Name and Location or Not Applicable (N/A) *
Brief Description of Event or Not Applicable (N/A) *
Website or Event Page URL or Not Applicable (N/A) *
I am interested in participating in ongoing discussions around diversity, equity, state and local issues. *
Thank you! Come back and see your event listed soon...
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Community Development Sustainable Solutions. Report Abuse