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* 1. 2019 Winter Free Fishing Weekend event name:

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* 2. Event date(s):

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* 3. Time of your event (please include am and/or pm):

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* 4. Description of your event:

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* 5. Please provide contact information for your event (please note, this information will be made public):

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* 6. Approximate number of attendees you expect at the event:

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* 7. If different than question 5, please provide contact information for this event the DNR can use to communicate directly with.

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