Crow Wing SWCD

Outreach Event Form

Name of Organization*

Name of Contact Person*

Phone*

Email*

What is the Age range of the Audience?*

Write a brief description of the event.*

Type of Outreach Event*

Presentation/Speaker

Table/Booth

Participate in a panel

Other

What topics would you like us to discuss?*

Date of Event (If known)

Start Time of Event*

Time

:HoursMinutes

End Time of Event*

Time

:HoursMinutes

Location of Event*

LOCATION

Address: 322 Laurel Street, Suite 22, Brainerd, MN 56401

Phone: 218-828-6197

HOURS OF OPERATION

Monday - Friday: 8:00am - 4:30pm
Saturday: Closed
Sunday: Closed

HELP

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