CMS Health and Wellness Fair Registration 
Thank you for your interest in joining us at the inagural CMS Health and Wellness Fair! Please complete this brief form to register for attendance at our community Health Fair. All information is kept confidential.
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Name (Last, First) *
Email Address (for important event updates) *
How many total guests will attend? *
What are the ages of the guests in attendance?
0-5 years
5-11 years
12-14 years
15-18 years
18+ years
Guest 1
Guest 2
Guest 3
Guest 4
Guest 5
Clear selection
What is your primary goal for attending the Health Fair? *
CCHC Child Physical Pre-Registration / CCHC Preinscripción física infantil
If you would like to complete the required school health assessment and/or dental screenings, use this link to register:  Child Health Assessment Pre-Registration
Si desea completar la evaluación de salud escolar requerida y/o los exámenes dentales, utilice este enlace para registrarse:: Preinscripción para la evaluación de salud infantil

Novant Free Health Screenings /  Exámenes de salud gratuitos de Novant
To schedule an appointment, go online and type https://bit.ly/CMSCOMMHLTHFAIR  or call 844-644-3578 (NHHELPU).

Se requiere inscripción. Para programar una cita, visite: https://bit.ly/CECMOBCMSCOMMHLTHFAIR  o escanea el código QR.Tambien puede llame al 844-644-3578 (NHHELPU).
Novant Free Vaccinations / Vacunaciones gratuitas de Novant
Sign up today to get your children immunized at our Community Care Cruiser.  https://bit.ly/CECMOBCMSCOMMHLTHFAIR   

Regístrese hoy para vacunar a sus hijos en nuestro crucero comunitaria.  https://bit.ly/CECMOBCMSCOMMHLTHFAIR   
Do you or your guests have any food allergies? *
If someone has a food allergy, what is it?
Does anyone need any special accomodations for accessibility? 
How did you hear about this Health Fair?
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