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Lights Out Talks
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* Indicates required question
Contact Name (First, Last)
*
Your answer
Name of Community Group
*
Your answer
Contact E-mail
*
Your answer
Contact Phone Number
*
Your answer
Select the days of the week that you can host a Lights Out Talk.
*
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays
Required
Select the time[s] of day best suited for your group to host a talk.
*
Mornings
Mid-days
Afternoons
Evenings
Required
Do you have a space that can be used for a Lights Out Talk? Our team can work with you either way.
*
Yes, my group can offer a space
No, my group is looking for a space
If you answered yes to having a space, does your space have a white wall, a screen or a whiteboard?
Yes, our space has the ability to set up a PowerPoint presentation
No, this space does not have the technology for a PowerPoint
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Group Type
Neighborhood Association or Group
Interest Group
Education Group
Afterschool Program
Advocacy Group
Professional Association
Other:
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