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Event Submission Form
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Event Submission Form
Submit an Event
Partner Organization
(Required)
Title of Event
(Required)
Date of Event
(Required)
MM slash DD slash YYYY
Is this event recurring?
(Required)
Yes
No
Please add additional dates and/or locations below.
Are participants required to attend all listed dates?
(Required)
Yes
No
Event Start Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Event End Time
Hours
:
Minutes
AM
PM
AM/PM
Location Name (ex: "Park Heights JCC" or "Online")
(Required)
Event Location
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
What is the maximum capacity of this event?
(Required)
Cost of Event
(Required)
Event Registration Link or Email to register
(Required)
When will registration for this event close?
MM slash DD slash YYYY
Your Name
(Required)
First
Last
Your Email
(Required)
Event Contact name (if different from above)
Event Contact Info (Email or Phone)
Which demographics best describe the target audience for this event?
Young Adults (<45 without children)
Families with Children or Tweens 0-13
Adults 45+ (without children or thinking about life beyond parenting)
Grandparents
Adults- General
Individuals with Disabilities and their families
Russian Speaking Jews
Jews of Color
Other
Other Demographic
Would you like The Network to include this event in an upcoming Event Roundup?
(Required)
Roundups are sent out roughly mid-month. To be included, programs must be open to the community.
Yes
No
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