Request for Inclusion in Lincoln Library's Community Calendar (Please print.)

Name of Event:


Organization Sponsoring Event:


Date of Event (Day, Month & Year):


Time of Event (Indicate a.m. or p.m.):


Place of Event (Include Street Address):


Is the event free? ______________ If not, indicate admission price. ________________

Brief Description of Event:




Phone Number for Public Inquiries for Additional Information:

(NOTE: This number will be included on the Community Calendar.)



Applicant Submitting Event:  __________________________________________

Phone: __________________________________________________ 

Signature of Applicant



Completed form can be submitted by . . .