The Registration Form

To celebrate 10 years of the Western MA Health Equity Network connecting the region, several co-hosts invite you to expand your network and learn more about advocating for policies that advance health equity and racial justice.

Register now for the Health Equity Advocacy and Policy Showcase.
On this registration form, you can also let us know how else you might like to be involved (see Question 4). 

This free event  is open to everyone. 
It will be on Thursday September 26, 2024, 8:30am-1pm at the University of Massachusetts Amherst. The purpose of this event is to increase awareness about health equity policy & advocacy--past, present and future. Join us to share your work, celebrate and learn.

The Showcase will be open house style--come when you can, leave when you must. We'll provide a detailed agenda in early September.

By registering for this event, you agree that photos or video taken of you during the event may be used by the co-hosting organizations, unless you request otherwise in Question 5 below.

Contact Risa Silverman, risa@umass.edu with any questions, concerns, or special needs. 

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Email *
First name *
Last name  *
1. Are you able to attend the Showcase on September 26, 2024? *
2. If you are you representing an organization/agency/institution, please tell us which one(s). 
3. Which county(ies) are you most connected with? (where you live, work, play)
5. Please use the space below to provide your comments, questions, concerns, request for language interpretation, and/or your request to not be photographed/videoed at this event. 

We look forward to hearing from you! 
A copy of your responses will be emailed to the address you provided.
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