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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
info@grassrootskw.org
. Thank you :)
First name
*
Last name
*
Email address
*
Phone number
*
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?
*
A
Minutes
B
Hours
C
Days
D
Weekend
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.
*
Please add any links to your event page, website, etc.
Is there anything else you'd like to share?
Submit
