Wednesday, July 23, 2008
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2008 Torch Run Event Notification Form
Name
*
Law Enforcement Agency
Address
*
Suite/Apt.
City
*
State
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
ZIP
*
Work Phone
*
Fax Number
Best Time To Call
*
Event Name
*
Event Location
*
City of Event
*
Date(s) of Event
*
Are alcoholic beverages being served at this event?
Yes
No
If you answered yes above, is there a charge for the beverages?
Yes
No
Will hazadous activities take place at the event?
Yes
No
Have you filed for Special Olympics Event insurance?
Yes
No
Have you notified your Special Olympics Local Coordinator of the event?
Yes
No
Do you know your Special Olympics Local Coordinator?
Yes
No
Please describe your event in the box below:
Please fill out and submit this form four weeks prior to the event (or sooner).
If you have questions regarding your special event,
please contact Dot Kohlbach at 1-800-843-6276, ext. 119
Donor Recognition Award Form
Materials Order Form
Event Notification Form
2200 Gateway Center Blvd. Suite 201, Morrisville, NC, 27560-9122 Phone: 919-719-7662 Email:
webmaster@sonc.net
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