Event Request - The Bros In Convo Initiative

Event Request Application

The Bros in Convo Initiative strives to partner with the community to educate and connect individuals to sexual health and wellness resources. We would love to be at your next event. Simply complete the form below and someone will contact you in 24-48 business hours.

First Name

Last Name

Organization Name

Email

Phone #

Event Location

AddressStreet Address

Address 2Suite, Apt, Bldg/Room etc.

City

State

Zip Code

Country

Event Details

Event Name

Event Description

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Event Needs for The Bros in Convo Initiative

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*Event Date

*Start Time

*End Time

*Arrival Time

*Leave Time

*Services RequestedSelect all that apply

Condom Distribution and OutreachFree HIV ScreeningsFree STI ScreeningsHealth FairInformational TableMobile Sprinter HIV/STI Screenings (Ensure at least 4 parking spots are open)Sexual Health Education

Will a space to perform Free Sexual Health Screenings be provided at your event?

Yes, a space will be providedNo, a space will not be providedN/A

Additional Information

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