2. Type of Program*

   1. Adults
   2. Kids/Teens/Family
4. Title of Program*
6. Description of Program*
8. If the program is for youth, please list the ideal age range.
10. Do you charge a fee?*

    1. Yes
    2. No
12. If yes, what is your fee?
14. Do you have avenues to advertise your program? (select all that apply)

    1. Email Lists
    2. Website
    3. Social Media
    4. Print Collateral
    5. Other
16. If you selected "other" above, please tell us more
18. Presenter's First Name*
19. Presenter's Last Name*
21. Business name or stage name (if applicable)
23. Presenter's phone number*
25. Presenter's email address*
27. Presenter's Address*
29. City*
30. State*
31. Zip*
33. Website address (if applicable)
35. Credentials/Experience*
37. In accordance with the Colorado Open Records Act, this submission and all related correspondence may be subject to public disclosure.
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38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field