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2. Thank you for contacting our Community Liaisons. Once submitted a staff member will respond within three business days.
4. Request Category:*

   Select one:

   1. Compliment
   2. Complaint

   1. Question
   2. Activity/Feature/Program Request

   1. Other
6. If other is selected please provide request description here:
8. Select which Community Center Manager will receive your request: *

   Select all that apply. 

   1. Barrett Station Community Center
   2. Bay Area Community Center
   3. Crosby Community Center
   4. East Harris County Activity Center
   5. Felix Baldree Community Center
   6. JD Walker Community Center
   7. Martin Flukinger Community Center

   1. Leonel Castillo Community Center
   2. North East Harris County Community Center
   3. Pep Mueller Community Center
   4. San Jacinto Community Center
   5. Vera May Community Center
   6. V.V. Ramsey Veterans Center
10. Please provide us with a detail description of your request: *
14. First Name
15. Last Name
17. Address
19. City
20. State
21. Zip Code
23. Phone Number
24. Email
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit Submit and Print

* indicates a required field