2. Washington County Library provides free programs to patrons of all ages. Please review our External Program Request guidelines before submitting this form.

4. Contact Information
6. First name
7. Last name
9. Organization
10. Email address
12. Mailing address
14. City
15. State
16. Zip code
18. Phone
19. Website
21. Program Information
23. Program title
24. Program type
26. Description
    Include number of performers/artists
27. Audience size limit
    if applicable
28. Length of Program
    if applicable
30. Target audience

    1. Adults
    2. Teens
    3. School-aged children

    1. Preschool children
    2. Families
    3. Other
31. Other
33. Is this a series?

    1. Yes
    2. No
34. Number of programs
35. Space requirements
37. Supplies/equipment/staff needed
38. Are you requesting a stipend or fee?

    1. Yes
    2. No

    (Professional, material, travel, etc.)
39. Amount
41. At which library locations would you like to present?

    Choose all that apply or select no preference.

    1. Hardwood Creek Library
    2. Lake Elmo Library

    1. Oakdale Library
    2. Park Grove Library

    1. R.H. Stafford Library
    2. Valley Library

    1. Wildwood Library
    2. No preference
43. References
45. Have you or your groups previously presented at a Washington County Library?

    1. Yes
    2. No
46. Have you performed before?

    1. Yes
    2. No
47. Please list last three places for reference:
Leave This Blank:


49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit

* indicates a required field