Centennial Time Capsule Donation Proposal

2. Time Capsule Donation Proposal Form
   The Centennial Celebration Planning Task Force is inviting community groups, service organizations and schools to contribute an item for consideration. Item(s) should reflect the El Cerrito community’s contemporary daily life. Items proposed will be evaluated for inclusion in the time capsule. If an item is accepted, the donating group will be required to sign an agreement transferring ownership of the tangible item without restriction.

   The Centennial Celebration Planning Task Force is inviting community groups, service organizations and schools to contribute an item for consideration. Item(s) should reflect the El Cerrito community’s contemporary daily life. Items proposed will be evaluated for inclusion in the time capsule. If an item is accepted, the donating group will be required to sign an agreement transferring ownership of the tangible item without restriction.

4. Organization*

6. First Name

7. Last Name

9. Your Email or Phone

11. Items Proposed
    Please list the item(s) (up to 3 items, in order of priority) proposed for donation to the City for inclusion in the El Cerrito Centennial Time Capsule. In the Description field, please include the dimensions and materials of the item.

    Please list the item(s) (up to 3 items, in order of priority) proposed for donation to the City for inclusion in the El Cerrito Centennial Time Capsule. In the Description field, please include the dimensions and materials of the item.

13. Item 1

14. Description of Item 1

16. Item 2 (optional)

17. Description of Item 2

19. Item 3 (optional)

20. Description of Item 3

22. Statement

    Please briefly describe your organization and the item(s) so that people 100 years from now will understand the relevance of the item(s) to El Cerrito in the present-day.

24. Agreement

    1. I agree

    By checking this box, I understand that the item(s) proposed by this group will be evaluated for inclusion in the time capsule. If an item is accepted for inclusion, the donating group will be required to sign an agreement transferring ownership of the tangible item to the City of El Cerrito without restriction.

26. Thank you!
    Thank you for your proposal and your interest in the El Cerrito Centennial Time Capsule.

    Thank you for your proposal and your interest in the El Cerrito Centennial Time Capsule.

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27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit Submit and Print

* indicates a required field