Health Fair Request Form

Please complete this form and submit it at least three weeks before your event date. Completion of this form is a request and does not guarantee participation. We will acknowledge your request within one week of our receipt. Our participation and services provided will be based on the availability of our staff and resources. We will contact you to confirm or decline our participation.

Requester Information
Event Information
Vendor fee:
Entry fee:
What’s provided (check all that apply):
Health Education Materials
If health education materials are requested, please check all that apply:
Successful submission will take you to a confirmation page.