Request Keep High Point Beautiful Programming or Outreach

2. Outreach at a Local Event
   

3. Keep High Point Beautiful in the Community
   Keep High Point Beautiful proudly offers presentations, interactive educational programming and tabling at events around the community. If you are interested in having Keep High Point Beautiful involved with your group, please fill out this form and we will get back to you in 3-5 business days.

   Keep High Point Beautiful proudly offers presentations, interactive educational programming and tabling at events around the community. If you are interested in having Keep High Point Beautiful involved with your group, please fill out this form and we will get back to you in 3-5 business days.

5. First Name

6. Last Name

8. E-mail Address

9. Phone Number

11. What kind of Program Are You Requesting?
    -- Select One --Tabling/booth at at eventChildren's Educational ProgrammingAdult Educational ProgrammingLarge Group PresentationOther

13. How Can We Assist You?

    Please detail briefly what kind of program you would like. (Example: education and outreach for children about litter reduction; adult education on community engagement and beautification; informational booth at a community event)

15. Preferred Date and Time
    Preferred Date and Time

    Preferred Date and Time

16. Alternate Date and Time
    Alternate Date and Time

    Alternate Date and Time

Leave This Blank:


17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit

* indicates a required field