* Submission Date
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* Last Name

* First Name

* Position Title

* Contact Email

* Lead Organization

* Activity Title

Activity Location (if applicable)

* Activity County

* Activity Date
January February March April May June July August September October November December 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 2020 2021 2022 2023 2024

* Organization Website

Major Collaborating Partners (if applicable)

* Activity Description

Please send any supporting material files (links, articles, images, etc.) to acccc@adph.state.al.us