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2. Let’s gather, connect & celebrate!

   Liberty Potluck250 is all about bringing neighbors together—one table, one dish, and one good conversation at a time.  Our goal is to host 100 potluck events on Sunday, Sept. 27 bringing Liberty’s neighborhoods together to meet someone new and share a meal. And we need YOU to host.

   Complete the form below to sign up.

4. Name
5. Address
7. Email
8. Phone Number
10. What neighborhood do you live in?
11. Address of your Potluck event
13. Date of Event
14. Time of Event
16. Are you interested in receiving a host pack?

    1. Yes
    2. No

    Includes commemorative cups, name tags, silverware and other goodies to help you host. Each host will be responsible for picking up their host pack from the Liberty Community Center at a specified day / time the week prior to Sept. 27.

17. Can the Potluck250 Committee post a "Event Host" sign in your yard approximately 3 weeks prior to the event?

    1. Yes
    2. No
19. Do we have permission to share your name and neighborhood on the list of hosts posted online?

    1. Yes
    2. No
20. Do you want to be entered into a drawing for a $100 downtown Liberty gift card as a thank you for hosting?

    1. Yes
    2. No
Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field