CWC: Request to Feature Your Event
Does your event fit into one of our featured "dimensions of wellness?" If you think so, complete this registration form to request that your event be featured on the Community Wellness Connections event calendar.

Thank you for supporting the ideals of wellness and for making our communities healthier!

1. Name (of person completing form/contact person & contact information) *
Your answer
2. Organization/Agency *
list organization(s) or agency(ies) sponsoring or hosting the event
Your answer
3. Event title *
Your answer
4. Date(s) of your event *
if multiple dates, please specify below with month and subsequent dates (example: 6/27, 6/28, 6/29)
Your answer
5. Time(s) of your event *
if multiple times, please specify times below (example: 10 a.m.-1 p.m. and 3 p.m. - 5 p.m.)
Your answer
6. Event Description *
include the "who, what and why"
Your answer
7. Location(s) of this event *
if multiple locations, please specify the location and include the DATE(s)
Your answer
8. This event is free and open to the public
9. Registration fee(s) and/or Registration Details
Include web links and/or registration opening/closing dates
Your answer
10. This event can be featured as a Community Wellness Connections event in the following dimension(s) of wellness: *
You may select more than one option
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