If you wish to have your ad recur on additional months, please select the month(s) below.
Providing the program/event.
Please indicate the location your program/event will take place.
Please indicate the street number address your program/event will take place.
20 character maximum.
Please indicate what age group would most benefit from your program/event.
Once you browse and select your file, you must click the Upload button to ensure your file is attached to your submission.
Only files with extension .jpg, .jpeg, .gif, .png
Please do not use all upper case letters. 160 character maximum.
35 character maximum no spaces.
This information will appear on the ad.
This information will not appear on the ad.
What email address should your invoice be forwarded?
I understand and agree by clicking the following box to fulfull all of the obligations and/or responsibilities as outlined in the Guidelines for Leisure Activity Council Membership. I also understand that, upon completing this submission, I will receive an auto-generated electronic receipt, and that my parent (if applicable) will be forthcoming.
Note: This electronic receipt should include all of the responses within your submission. If you do not receive an electronic receipt, and/or the receipt doesn't show the correct submission responses, please contact Allison Jordan at 519-271-0250 ext. 270.