You must have JavaScript enabled to use this form. Name Email Phone Number Address Address 2 Zip Code Event Name Event (graduation, award ceremony, eagle scout, etc.) Event Date and Time Event Date and Time: Date Event Date and Time: Time Event Details Name of Honorees Please provide sample certificate language One file only.200 MB limit.Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods. Are you requesting a staff member to present certicate(s) in person? Yes No Leave this field blank