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Request the Health Department to Attend Community Events or Presentations

2. Washtenaw County Health Department staff are often available to provide information at community events or give presentations on public health issues. Fill out the form below to request staff to table at an event or give a presentation. We try to attend as much as we can, but there are cases when we won't have staff available. We will confirm via email if we are able to attend.

   Washtenaw County Health Department staff are often available to provide information at community events or give presentations on public health issues. Fill out the form below to request staff to table at an event or give a presentation. We try to attend as much as we can, but there are cases when we won't have staff available. We will confirm via email if we are able to attend.

4. Organization

6. Contact Name

8. Contact Email*

10. Contact Phone Number

12. Event Name

14. Event Date and Time
    Event Date and Time Start Date

    Event Date and Time Start Time

    —

    Event Date and Time End Date

    Event Date and Time End Time

16. Event Location

18. What would you like the Washtenaw County Health Department to provide?*

20. Questions? Contact us at l-wchdcontact@washtenaw.org

    Questions? Contact us at l-wchdcontact@washtenaw.org

Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field