Health Fairs

Jump to Comments

Thank you for the invitation to participate in your group’s event. Please fill out the form entirely so that we may obtain all of the required information that is needed to participate in a Health Fair/Event. Please fax the completed form to _________________, or mail to the address below. You will be contacted at least a week prior to the event if we are able to attend. If we are unable to attend, you will be contacted as soon as possible.

Name of Group: ___________________________________________

Address of Group: _________________________________________

Contact Person: ___________________________________________

Contact’s Phone Number: __________________________________

Name of Event: ___________________________________________

Event Location: ___________________________________________

Circle County where Event will be held:      Site #1            Site #2

Date(s) of Event: __________________________________________

Time of Event: ____________________________________________

Services Being Requested: __________________________________

Type of Audience: _________________________________________

(i.e. families, seniors, youth)

Number of Attendees expected: ____________________________

Circle Items Provided:   Tables              Chairs               Tablecloth                     Tents

Please attach any specific directions pertaining to check-in, set-up, parking, or driving directions along with this sheet and send to the address or fax to the number below:

Any questions may be directed to:

Name

Address

Telephone Number

Fax Number

Email Address