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Shelby County Division of Community Services Event Participation Request Form

  1. Interested in having the Shelby County Division of Community Services participate in your community/health fair or send someone to speak at your event? Please complete the form to request our participation. Thank you!

  2. Type of Event*

  3. Check the department(s) below for participation in your event*

  4. Items Provided by the Sponsor*

  5. I would like to have someone speak at this event.

  6. I have some questions about the services offered by the Division of Community Services. Please connect me with information about:

  7. Would you like to be added to our email list to receive our monthly newsletter, Community Connections?

  8. Leave This Blank:

  9. This field is not part of the form submission.