Rainbow Health Fair Community Partner Form
Date: TBD due to COVID-19 • Setup Time: 10 a.m. • Event Time: 11 a.m. to 4 p.m.

We will do our best to meet your needs as a provider at the fair. Our goal is to make sure everyone is comfortable with their location. Space is limited. The sooner we know about your needs, the better we will be able to accommodate them. If a need cannot be fulfilled, we will let you know ahead of time.

Please be aware that the volunteers of the Rainbow Health Fair strive to create a safe space for the people that attend. We want everyone to be respectful of anything you might hear from community members. The goal is to help people feel as comfortable as possible when discussing their health issues.
Organization Name *
Your answer
Contact First Name *
Your answer
Contact Last Name *
Your answer
Contact Email *
Your answer
Contact Phone Number *
Your answer
Services/Screening Offered *
Your answer
Number of Tables Needed
Your answer
Number of Chairs Needed
Your answer
Electricity Needed?
Next
Never submit passwords through Google Forms.
This form was created inside of Gay City Health Project. Report Abuse