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Lake Minnetonka Conservation Olstrict <br />900 E. Wayzata Blvd., Suite 160 <br />Vavzata, MN 55391 <br />SPECIAL EVENT REPORT <br />Please return this fora completed to the LMCD vlthin two weeks after the <br />event. <br />1. Name of Ev’ent <br />2. Sponsor(s) <br />3. Date(s) of Event <br />4. Total number of participants <br />5. a) Number of participants from out-of-state <br />b) which states represented_ _ _ _ _ _ _ _ _ <br />6. Total number of spectators <br />7. Approximate dollar value of registration fees <br />8. Dollar value of prizes awarded, if any (include merchandise donations) <br />9. Age range of participants <br />10. Statistics unique to this event <br />Comments: <br />Date Signature