Sign up for our Wellness event!

Date: May 31st - 11am-4pm

Join us in prioritizing your health. Please complete this form to register for our upcoming health forum. Your participation will help shape the discussions and workshops that will make a meaningful impact on our community's health. We look forward to seeing you.

First Name*

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Last Name*

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Email Address*

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Phone Number*

Number Required

What is your age group?

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17-25 years old

26-35 years old

36-45 years old

46-55 years old

55 years old and above

Which stake holder group do you belong to?

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Student

Parent/Family

Staff

Community member

Are you bringing a friend?

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1-3

What are you interested in learning about today?

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Diabetes

Hypertension

Health Food options

General Health

How did you hear about todays event?

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received a flyer

saw online promotion

Word of Mouth

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C.S. 154M Wellness Fair May 31st Registration

Sign up for our Wellness event!