Event Request Form

Event Name*
Event Organization*
Event Contact*
First Last
Event Phone Number*
Event Email Address*
Event Date*
MM slash DD slash YYYY
Time Event Begins*

: Hours

Minutes

AM/PM
Time Event Ends*

: Hours

Minutes

AM/PM
Event Location*
Street Address Address Line 2 City 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