| EVENT OVERVIEW |
| Event Title: |
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| Event Start Date: |
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| Event End Date: |
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| Start Time: |
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| End Time: |
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| Event Location (address): |
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| Event Borough: |
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| Event Type: |
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| Event Description: |
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| Event Website or Social Media Page: |
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| Is this a free event? |
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| Is pre-registration or sign-up required? |
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| As it relates to the ADA25NYC project, does this event represent: (check all that apply) |
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| Will this event have any of the following? (check all that apply; the appropriate symbols will appear in your event listing. You may indicate more specific accessibility accommodations later in this form.) |
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| Event Logo or Image (for thumbnail, will be displayed within 150x150 pixel square: |
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| Photo credits (if any): |
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| Image Description (Briefly describe the image for users of screen readers.): |
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| High Resolution Image (for use in highlighting event on ADA25NYC homepage, image should be 730 x 305 pixels, oriented horizontally) |
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| Photo credits (if any): |
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| Image description (Briefly describe the image for users of screen readers.) |
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| EVENT DETAILS |
| Event ticket price and registration process, if any: |
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| Event Target Audience (check all that apply): |
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| Is this event specifically designed or intended for: (optional, check any/all that apply): |
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| Directions to event: |
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| Parking information: |
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Specific Accommodations: (check all available FOR THIS EVENT)
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| ORGANIZATION OR VENUE DETAILS |
| Name of Organization/Venue: |
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| Contact Person (name or position/department): |
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| Phone Number: |
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| TTY: |
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| Email Address: |
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| Organization/Venue Website: |
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| Description of Organization/Venue: |
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