Event Request: Oregon Dairy Princess Ambassador

Oregon Dairy Princess Ambassador Request for Events
Full Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Number
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Event Location Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Dates Requesting:*
What Type of Event?*

Grades K-5thGrades 6th-8thGrades 9th-12thFamilyCommunityCorporation
Age Groups Served:*

Ages:0-5Ages:5-12Ages:13-18Ages:0-99Adults
What is the total expected attendance?*
What is the ideal start times and end times?*
Please explain the purpose of this event:*
Where are we located at during the event?*
What are you requesting that we do at the event?*
Civic Engagement Presentation

YesNo
How did you hear about our program?*
Have we attended this event or other events with this organization or business before?*
Enter the message as it's shown*
Option 1Option 2Option 3
Should be Empty:

Oregon Dairy Princess Ambassador Request for Events