FORM A
Form A: Program Brochure Description
Due KCIC Office: December 6, 2005
SCHOOL/ORGANIZATION:
Event Day(s) of the Week:
Event Date(s):
TIME OF EVENT:
FROM:
a.m.
p.m.
TO:
a.m.
p.m.
EVENT TITLE (15 words or less):
PLACE OF EVENT:
Name of Place:
Street Address:
Phone # for Brochure:
(
Please be sure someone knowledgeable about this event will be at this # during business hours)
DESCRIPTION OF EVENT FOR BROCHURE:
Include name of underwriter if desired. Give Event description in 30 - 45 words or less, KCIC has the right to edit text for space/format.
COST:
Free
for Adults
for Seniors & Students
for Children
Other (
Explain
:)
OPEN TO:
Public
Target Audience: (
Check All That Apply
)
Junior High - Adult
Elementary Students
Teens
Preschoolers
All Ages
FOR BROCHURE:
Artwork available --
Photos
Original Art
(
We will call you if this is needed
)
If this event is chosen to be part of this year's Kennedy Imagination Celebration and is featured in the brochure, I agree to include the KCIC logo and/or name in all advertising and/or press releases.
Event Mgr:
Title:
Phone:
Fax:
Email:
Address:
City:
Zip:
1515 N. Academy Blvd. Suite 200, Colorado Springs, CO 80909
Phone (719) 597-3344
Fax (719) 597-3343
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