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 . . .