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2. Instructions

   Clubs, organizations, government services, recreational opportunities, and youth involvement activities will be featured on the Community Page of the Jefferson County website. This form allows you to nominate a website for inclusion on the community page. The addition of pages is at the discretion of the Jefferson County website administrator. Please note that for-profit businesses or religious organizations will NOT be featured.

4. Name
5. Email Address
7. Phone Number
9. Organization or Facility Name

   What is the name of the organization of facility you are nominating?

11. Website

    Enter the URL (web address) of the organization or facility you are nominating

13. Is this an event?

    1. Yes
15. Display Start and End Dates
    Display Start and End Dates Start Date

    —

    Display Start and End Dates End Date

    When would you like this displayed on the website?

17. Description

    Describe the purpose, mission, or benefit of this organization or facility.

Leave This Blank:


19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

* indicates a required field