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2. We'd like to meet you!
   With enough notice, we are happy to arrange visits by Bothell leadership or staff to schools, neighborhood groups, or other Bothell organizations. Please submit your request at least one month in advance. Additional notice is helpful if you are requesting specific staff, leadership or topics be addressed.
6. Contact Information
8. First Name*
9. Last Name*
11. Phone Number*
12. Email Address*
14. Street Address:*
16. Type of group*
    Please let us know the name of your organization, if your group includes children and/or adults, age range of children if any, and anything else that can help us meet your needs.
18. How many people in your group?
22. Do you have a specific date and time for your meeting or event?
    Do you have a specific date and time for your meeting or event?

    Do you have a specific date and time for your meeting or event?
    Leave this section blank if you are flexible.
24. Do you have a specific length of time in mind for our participation in your event?
26. Type of request*

    1. Presentation about a specific topic
    2. Informal q & a
    3. Staff presence at a table/booth at your event
    4. Other
28. Specific requests or other details
    Please let us know if you seek a presentation about a certain topic, would like to invite certain staff or officials, or have any other special requests.
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field