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Lower Roxbury Coalition and Wellness Initiative Community Resource Fair Event 
Community Resource Fair Family Registration

Thank you for your interest in attending our Community Resource Fair! Join us for a day of community, resources, food, clothing, family activities, and connections to local organizations.

Event Details

Date: Friday, November 14
Location: Dewitt Center. 122 Dewitt Drive, Roxbury 02120
Time: 11:00am to 3:00pm

Please complete the registration form below!

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Email *
First Name *
Last Name *
Phone Number 

 *
Email Address
 *
City *
Zip code: *
What is your gender? *
What is your race & ethnicity? *
 Are you planning to attend the Community Resource Fair? *
Required
How many adults will be attending?
 *
 How many children do you have?
 *
Will your children be attending the event?
 *
Please list each child who will be attending. 
Example:
Child 1: Age 4 – Female
Child 2: Age 8 – Male
Child 3: Age 13 – Female
 *
 Please provide the ages and gender of each child attending.

Example:
Age 2 – Male
Age 6 – Female
Age 10 – Male
 *
 Which resources are you most interested in? (Select all that apply.)
 *
Required
Are there any accommodations your family may need?

 *
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