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2. 
3. St. Bernard Parish Government
   Event Information Request Form
5. First Name
6. Last Name
8. Email
9. Phone Number
11. Type of Event*
13. Event Date*
    Event Date

    Event Date
14. Number of Guests
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16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit

* indicates a required field