Worthington Bicentennial: Recognized Event Application Form

Recognized Event Application Form

Signature Events

Bicentennial Calendar

Recognized Bicentennial Events


	Recognized Event Application Form WORTHINGTON 2003 BICENTENNIAL CELEBRATION APPLICATION FOR RECOGNITION AS A BICENTENNIAL ACTIVITY *please print out and return to: Anne Brown Worthington Bicentennial Celebration 6550 N. High Street Worthington, OH 43085 fax-614-436-5966 email: brown@ci.worthington.oh.us phone: 614-436-3100 ext. 2105 Sponsor:____________________________ ( ) Organization ( ) School ( ) Neighborhood ( ) Other ( ) Business Contact:____________________________ Tele #:_______________ Project Manager:____________________ Address:____________________________ Tele. #:_______________ Please tell us about your organization: Description of project or activity: Please tell us how the activity or project meets the criteria listed under definition (page 1): DATE(S) of activity or project:__________________ LOCATION:_________________________________ Is this a: One time event? Y N Ongoing? Y N Beyond 2003? Y N Are permits and/or special permission necessary ? Y N If funds are needed, please attach a fund-raising plan and potential funding sources. Please use the rest of this page to tell us anything else you want us to know. Send applications to: Anne Brown, c/o Worthington Bicentennial Celebration, 6550 N. High St. Worthington, OH 43085 THANK YOU!

SPONSORS:

Founding Sponsor:

Worthington
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