KLM Community Day & Health Fair
2023
Registration Page
Secure Online Event Registration
Health Fair Provider
Health Fair Providers
(Choose One)
Medical Screening
Dental Screening
Vision Screening
Other Please List Below
Please list the services you will be providing.
Health Fair Volunteers
(Choose One)
Health Fair Area
Entertainment Stage
Kids Entertainment
Fashion Show
Please list area you would like to volunteer .
Entertainment
(Choose One)
Singer
Hip Hop
Comedian
Dance Group
Poetry
Fashion Show
Other Please list below
Please Enter The Person or Groups Name and Social Media Pages You are Nominating
Your Name (Person Filling Out Form)
*
Company Or Organizations Name
*
Email
*
Phone Number
Address
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