Contact person:
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Organization:
Address:
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City:
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State:
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Zip:
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Phone (day):
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Phone (evening):
Phone (cell):
Email address:
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Start date of event:
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Month
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Day
Year
Date
Event end date (if applicable):
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Month
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Day
Year
Date
Type of event:
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Time of event (from and to):
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Attendance at event:
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What city facilities do you plan to use?
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Foothills Recreation & Aquatics Center
Foothills Library
Glendale Adult Center
Glendale Main Library
Sahuaro Ranch Historical Area
Sahuaro Ranch Park Ramada Complex
Glendale Heroes Regional Park Ramada Complex
List the activities your event will include:
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Electronic Signature:
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Today"s date:
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Month
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Day
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Date
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