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2. 
4. THIS FORM IS FOR WEST VALLEY CITY DEPARTMENTS ONLY
6. This is a FREE event for public and for our community partners to share their message. This is an outdoor event at Centennial Park (5415 West 3100 South). In case of bad weather, the event will be moved inside the Family Fitness Center. The objective of the event is to provide a fun educational experience for attendees. Participants are STRONGLY ENCOURAGED to have a “SpringFest” (Earth Day, Arbor Day, Spring, etc) theme and/or message and are STRONGLY ENCOURAGED to have an engaging activity for attendees.
7. What is being supplied?
   We will make every effort to supply CITY SPACES with a canopy, table and chairs. If possible, please plan to help set these items up and take them down.
8. Power
   If it is CRITICAL for you to have power, please let us know, there are a LIMITED number of power connections.
12. Department Name*
13. If possible, please complete ONE form per department.
17. Contact First Name*
18. Contact Last Name*
20. Contact Extension*
21. Contact Email*
25. Division Name*
26. Number of Spaces Requested*
27. Power Connection*

    1. Yes
    2. No
29. Division Name
30. Number of Spaces Requested
31. Power Connection

    1. Yes
    2. No
33. Division Name
34. Number of Spaces Requested
35. Power Connection

    1. Yes
    2. No
39. Additional Comments (if any)
Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit Submit and Print

* indicates a required field