MADD Georgia Event Request

Please complete the requested information below. A MADD Georgia Staff Member will follow up regarding your request within 5 business days.

If your event is scheduled within the next 2 weeks, please complete this form and then call the MADD Georgia State Office at 770-615-3737.

MADD Georgia Appearance Request Form

Fields marked with an * are required

"*" indicates required fields

MM slash DD slash YYYY
Please put the deadline for MADD Georgia to confirm/send regrets about participating in this opportunity.
MM slash DD slash YYYY
This is the date the event will occur.
MM slash DD slash YYYY
Please be sure to include the event start time and end time, with AM/PM designations. For example, 10am-2pm.
What services are you requesting from MADD Georgia for this event?*
What technological aides will MADD need to supply?*