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CPR Knack Submission
CPR Knack Submission
Organization Name
(Required)
Organization Type
(Required)
School Grades 6-8
School Grades 9-12
College
Community Organization
Civic Group
Neighborhood Event or Fair
Senior Center
Religious Group
Private Event
Residential Building
After School Program
Summer Camp
Other
Organization Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Organization Borough
(Required)
Bronx
Brooklyn
Manhattan
Queens
Staten Island
Other
Primary Contact Name
(Required)
First
Last
Primary Contact Email
(Required)
Primary Contact Phone
(Required)
Event Date
(Required)
MM
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
YYYY
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Event Start Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Event End Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Day of Event Contact Name
(Required)
First
Last
Day of Event Contact Phone
(Required)
Will the presentation be at the same address as the organization?
(Required)
Yes
No
Event Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Event Borough
(Required)
Bronx
Brooklyn
Manhattan
Queens
Staten Island
Other
Cross Street/Entrance
(Required)
Expected Number of Attendees
(Required)
Number of Class Presentations (for schools only)
Type of Event
(Required)
Presentation
Tabling
Virtual
Virtual Link
Please supply a link if available.
Event Location
(Required)
Indoor
Outdoor
Literature Languages
(Required)
English
Arabic
Bengali
Chinese
French
Haitian-Creole
Korean
Russian
Spanish
Urdu
Expected Age Group(s)
(Required)
11-18
19-60
61+
Comment/Questions
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.
