Canastota Central School's Community Celebration Registration Form (formerly Canastota School's Health & Wellness Fair: A Community Celebration)
Please complete this form if you would like to participate in the 2019 Canastota Central Schools Community Celebration. This event will take place on Thursday, March 14, 2019 from 6:00 - 8:00 pm, and is free to participate - we provide tables, chairs, and technology support (power cords, audio, video, etc.)
Email address *
Participant/Group Name *
Your answer
Contact Name *
Must enter a person's name for communication purposes - thank you.
Your answer
Contact Address (physical): *
Of organization or individual
Your answer
Phone: *
ex: (123) 456-7890
Your answer
Area of Interest: *
ex: physical health; financial health; mental health; volunteer service; healthy activities; etc.
Your answer
Please list your needs for setup in the following areas:
If you do not require table(s) & chair(s) please put a '0'
Furniture: # of Tables (2 max. per group if space allows) *
Your answer
Furniture: # of Chairs *
Your answer
Will you need access to a power outlet? *
Will you need an extension cord? *
If "yes", then how many extension cords will you need?
Your answer
Equipment:
Will you be providing a raffle basket? *
(If yes please be sure to attach a business card / identification so we know who donated the basket)
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