Earth Day Event Submittal Form

The following form should be submitted to request posting of an Earth Day Event.
Information submitted using this form will be available to the public on the DEEP website.

Use the tab key to move between fields. Before submitting your request, please check your entries.
(All Fields are Required)

Earth Day Event Information
Event Name
Event Description (maximum 50 words)
Event Date
Event Time
Event Location (include Street Address/ Town)
Sponsoring Organization(s)
Other Event Information (registration requirements, fees, etc.)	(If no additional information, please enter Not Applicable)
Event Contact Name
Contact Phone
Contact E-mail	(If you do not have an e-mail address, please enter Not Available)
Website Address (for more information)	(If a website is not available, please enter Not Available)

*Name and phone number and/or e-mail of individual submitting event information*

Please check your entries before submitting form.

If your browser is unable to process this form:

Email your event information to: Cyndy.Chanaca@ct.gov
Or, print this page, fill it out and mail it to:

DEEP Communications Office
79 Elm Street, 3rd Floor
Hartford CT 06106