Community Relations Request Event Name*Event Organization*Event Contact* First Last Event Phone Number*Event Email Address* Event Date* Time Event Begins* : HH MM AM PM Time Event Ends* : HH MM AM PM Event Location* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Event Fee*Describe Details of Event*Provide Instructions for Check-In, Parking, etc for day of Event*For School and/or Educational Events, provide grade levels in attendance and approximate number of students expected to participate*Requesting Wally Water Mascot to attend?* Yes No Candy permitted to give out?* Yes No
