Community Partner Event Participation Form

Community Partner Event Participation Form

Sign up to participate in upcoming community events. Choose the events you'd like to attend and provide your contact information.
Organization Name*
Contact Person's Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Which events would you like to attend?*

Mobile Community Connection CentersBack 2 School Night (July 30th at Boys & Girls Club of the Coastal Bend)Christmas of Hope (December 18th at Corpus Christi Community Center)
Please select the counties your organization serves.*

AransasBeeBrooksDuvalJim WellsKlebergLive OakNuecesRefugioSan PatricioJim HoggHidalgoCameronWebbWillacyStarrTravisBexarHarrisVictoriaOtherOther
Please specify other counties you serve*
Should be Empty: