Community Outreach Request

To submit a community outreach request, please fill out the information below. We will review your request and get back to you in a timely manner. For questions, please reach out to Community Wellness at 410-543-7558.

Event information

Name of event *

Description *

Time *

Date * +

Please note if this is a multi-day event

Street Address *

Address Line 2

City *

State *

Zip Code *

Audience and other needs

Estimated number of attendees *

Demographics * 🛈

Do you have any special requests? Please include language needs.

Event point person

First Name *

Last Name *

Phone Number *

Email Address *