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2. Personal Information
   Please complete the following information.
4. Full Name*
6. Date of Birth*
   Date of Birth
7. Gender*

   1. Male
   2. Female
8. Race and Ethnicity - How do you identify? Click all that apply. You may choose more than one**

   1. African American / Black
   2. American Indian or Alaskan Native
   3. Asian
   4. Hispanic, Latino/a, or Spanish
   5. Middle Eastern or Northern African
   6. Native Hawaiian or other Pacific Islander
   7. White
   8. Decline to state
10. Organization
11. Non-Profit (501c3)

    1. Yes
    2. No
13. Email Address*
15. Address*
16. Apartment #
18. City*
19. State*
20. Zip Code*
22. Home Phone*
23. Cell Phone
25. Rental Information
27. Event Type*
    What type of event are you having (ex. race, walk, run, etc.)?
29. Trail(s) & Event Field(s)*
    -- Select One --American Tobacco TrailElerbee Creek TrailThird Fork Creek TrailBurton ParkCook Road ParkDuke ParkDurham Central Park Skate ParkForest Hills ParkOld North Durham ParkOval Drive ParkRock Quarry ParkSouthern Boundaries Park
31. American Tobacco Trail Section(s)

    1. ATT Mile Marker 0 - 4
    2. ATT Mile Marker 4 - 6.5
    3. ATT Mile Marker 6.5 - County Line

    Please select which sections of the trail you would like to rent.
33. Date(s) of Rental*
35. Set Up Time*
36. Event Start Time*
38. Event End Time*
39. Clean Up Time*
41. Where will the event begin?*
42. Where will the event end?*
44. Will participants need to turn around?*

    1. Yes
    2. No
45. Where will they need to turn around?
47. Will you be closing streets?*
49. Where will attendees park?*
51. Expected Attendance*
52. What is the average age of the attendees?*
54. Will you need to set up tents?*

    1. Yes
    2. No
56. Will you have amplified sound?*

    1. Yes
    2. No
57. Will you have rides or inflatables?*

    1. Yes
    2. No
59. Will you be selling food?*

    1. Yes
    2. No
60. Will there be vendors selling goods other than food?*

    1. Yes
    2. No
62. Will fees or donations be collected?*

    1. Yes
    2. No
64. How will you be advertising this event?*
66. Event Details
Leave This Blank:


68. 1. Receive an email copy of this form.
69. Email address

    This field is not part of the form submission.

70. Submit

* indicates a required field