* 1. Contact Information

* 2. Are there any specific topics you would like to discuss or questions you would like addressed at this event?

* 3. Would you like to receive additional information about the event?

* 4. Lunch will be provided. Do you have any dietary restrictions?

* 5. Will you be staying to participate in the Positive Community Norms Campaign Work group with the Benton County Substance Use Prevention Coalition from 12pm-1pm?