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Community Event Request Form

Thank you for your interest in partnering with the Lexington-Fayette County Health Department (LFCHD)! We participate in community events that align with our mission to improve the health of everyone in Fayette County.

Please submit requests at least 30 days before your event. Submission of this form does not guarantee participation. Requests are reviewed based on staffing availability, community need, and available resources.
CONTACT INFORMATION
1.Organization Name(Required.)
2.Primary Contact Name(Required.)
3.Email Address(Required.)
4.Phone Number(Required.)
EVENT INFORMATION
5.Event Name
6.Event Date
7.Event Start Time
8.Event End Time
9.Event Location
10.Approximately how many people do you expect to attend?
11.Who will attend? (Select all that apply)
12.Is this event open to the general public?
13.How can we help?
PLEASE TELL US MORE ABOUT YOUR REQUEST
14.Attach an event flyer or promotional materials (optional)
No file chosen
15.Will the event be held:
To help us prepare, will the following be available?
16.6-foot table
17.Two chairs
18.Electrical access (if needed)
What Happens Next:
  • You'll receive a confirmation email that we received your request.
  • An LFCHD staff member will review your request.
  • We may contact you if additional information is needed.
  • You'll receive a decision regarding our ability to participate within five (5) business days.
Thank you for your interest in partnering with the Lexington-Fayette County Health Department. We appreciate the opportunity to serve our community together.
Questions? Contact us at lex-chip@lfchd.org