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2. To request your event be posted on the City's Community Calendar, please provide the information requested below.

   Requests should be submitted at least ten days before the event. Late submissions may or may not be posted.

   The event must be a legal gathering that is open to the public and embraces a targeted theme or cause, fostering unity and engagement in Carbondale.

   View more detailed information outlining events that will be EXCLUDED from consideration.

   Email questions to kgray@explorecarbondale.com

4. Applicant Name*
5. Email Address*
7. Address*

   Street, City, State, Zip

8. Phone Number*
10. Name of Event to be placed in Community Calendar*
11. Organization (if applicable)
13. Name

    (for attendee questions)

14. Email

    (for attendee questions)

15. Phone Number

    (for attendee questions)

17. Website Link
18. Location of Event*

    Street Address

20. Date of Event*
21. Time of Event*
22. Event cost, if any, and how to pay*

    i.e. $5 at door

23. If you have a flyer of your event, please upload
25. Is this event City sponsored or funded?*

    1. Yes
    2. No
26. Is this event a legal gathering open to the public with a targeted theme or cause, fostering unity and engagement in Carbondale?*

    1. Yes
    2. No
28. Explain briefly, purpose of event*
30. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
32. Electronic Signature*
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field