Community Event Request Form

Community Event Request Form

Thank you for your interest in having WSSC Water attend your event. Our team will review the request and follow up in 2 weeks. Please note: If the request is not submitted with at least 2 months’ notice, we most likely will not be able to attend. Questions? Communityoutreach@wsscwater.com
Event Name*
Event Location *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County*

Prince GeorgesMontgomery
Sponsoring Organization*
Organization Contact *

First NameLast Name
Contact Email*
example@example.com
Contact Primary Phone Number *
Please enter a valid phone number.
Event Date *

MonthDayYear
Date
Event Set-Up Time *

Hour Minutes

AM/PM Option
Event End Time *

Hour Minutes

AM/PM Option
Anticipated Size of Audience *
Brief Description of Event- please include the audience, goal for the event, how WSSC Water's participation will benefit the community, and if there is a cost for non-profit/government agencies to participate. *
Is the event outside?*

YesNo
If this event is for an audience where the majority are non-English speakers please share the predominant language(s) spoken
What will be provided?*

TableChairsTentElectricityNone of these
Should be Empty: