#Event Date:   

*Name of Event/Sponsor:
 

*Contact Person:
 

*Phone Number(s): 

*E-Mail or other contact information:

*Location of Event (County/City):
*County:        
*City:        

Annual Event?   Yes    No
New Event?       Yes    No

**Anticipated Attendance (3000+):  

Priority Audience: 

Priority Topic:
Freshwater FishingSaltwater FishingHuntingBoatingWildlife viewing/BirdwatchingWildlife/Habitat conservationOutdoor family activities(hiking, canoeing, kayaking, camping)Wildlife/Human Safety(panther, black bear, alligator)Does not apply
 

What benefits will you provide FWC in return for FWC staff participation at your event? (click on all that apply)

Free booth space 

Cost (if there is a booth fee):
N/A

Priority location at event

Free entry for FWC staff

Materials to support conservation message

Funding support

Advertising that promotes FWC message

Low cost public entry

Volunteer support during event                           Number of volunteers available:

*Evaluation of event provided to FWC after event date

Accessibility (ADA compliance)

What would you like FWC to provide at your event? (Click all that apply)

Speaker or presenter

Display/Exhibit

 Demonstration..........  K-9 demonstrationFirearm safetyBoating safetyCastingEthical angling techniquesRaptors

Use Control (Ctrl)-Click for multiple selections.

 Live animals - kind:...   Marine animal touch tankFresh water aquariaAlligatorRaptors

Use Control (Ctrl)-Click for multiple selections.

Simulators

Activity items:...    Manatee educational trunkSportfishing simulatorShooting range simulatorHooked on fishing not Drugs(ASA)4-H sportfishingPassport to fishing programLake WatchSea turtle educational trunkProject WILD activitiesFishing education trunkHabitat education trunk

Use Control (Ctrl)-Click for multiple selections.

Printed materials: (Publications)

Posters (Based on event focus)

Premium/promotional

Watercraft or other agency vehicles

 Print Document