Juneteenth Application Form - USTA Florida

Application Form

Name of Organization(Required)

Organization Main Contact Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Are you Safe Play approved?(Required)

Yes

No

To be approved, this event must:

take place during June 2022
include at least 15 participants
demonstrate commitment to diversity and inclusion
incorporate history of Juneteenth

Proposed Date of the Event(Required)

Please describe your event and what makes it so special. Include the following information:

Facility hosting the event
Target Audience
How you plan to market the event. (social media, flyers, emails, etc.)
How will this event make an impact in your community?
What are you doing to showcase diversity in this event
How the money will be used?

Please Answer the Questions above and Describe your Event in Detail(Required)

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