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Grassroots KW Event & Program Submission Form
Hi there! If you're filling out this form, that means you're running cool climate initiatives in Kitchener-Waterloo. We think you're pretty awesome!
If you have any questions, concerns, or suggestions, feel free to reach out to
[email protected]
. Thank you :)
First name
*
Last name
*
Email address
*
Phone number
*
Are you affiliated with an organization?
*
Are you affiliated with an organization?
A
Yes
B
No
What is the name of your event or program?
*
Where is it taking place?
*
If your event is online, please write "Virtual".
When is it taking place?
*
Please select a date and time. Please note that the time values are in 24-hour format.
If your event or program takes place over several days, please select the final date it will be running.
What is the average time budget for an attendee?
*
What is the average time budget for an attendee?
A
Minutes
B
Hours
C
Days
D
Weekend
What type of social collaboration is involved for an attendee?
*
What type of social collaboration is involved for an attendee?
A
Individual
B
Collective
C
Both
Which categories would you say represent your initiative the best? Choose all that apply.
*
Which categories would you say represent your initiative the best? Choose all that apply.
Please add any links to your event page, website, etc.
Is there anything else you'd like to share?
Submit
