2. 
4. Group Name
5. Date of Event*
   Date of Event
7. Contact First and Last Name*
8. Position/Title
10. Phone Number (Work)*
11. Phone Number (Cell)
13. Email Address
15. Mailing Address*
17. City*
18. State*
19. Zip Code*
23. Please provide 4-6 Whereas clauses (see example below), including how the group/individual has contributed to Kenton County:
25. Whereas Clause 1:*
27. Whereas Clause 2:*
29. Whereas Clause 3:*
31. Whereas Clause 4:*
33. Whereas Clause 5:
35. Whereas Clause 6:
39. Proclamation Example:
41. 
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43. 1. Receive an email copy of this form.
44. Email address

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45. Submit

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