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Let's Get Healthy! Volunteer Registration

Thank you for your interest in Let's Get Healthy! exhibit and health fair!

Our next fairs are:
Saturday, July 10th, 2010 - Canby, OR (Clackamas County)
Canby Cares Day; Wait Park; 9:00 a.m. – 2:00 p.m.

Saturday, September 25th 2010 - Hermiston, OR (Umatilla County)
Family Health & Fitness Day; Hermiston High School; 9:00 a.m. – 1:00 p.m.

Tuesday-Wednesday, October 12th and 13th, 2010 - La Grande, OR (Union County)
Location and time, TBA

Saturday, October 16th 2010 - Portland, OR (Multnomah County)
African American Health Coalition’s Annual Wellness Fair; Blazer Boys & Girls Club; 10:00 a.m.- 3:00 p.m.

Please fill out the following information to volunteer for these fairs or to be put on our mailing list about future fairs. For more information about Let's Get Healthy!, visit our website: www.octri.org/letsgethealthy

Name First Last
Email
Phone Number ### - ### - ####
Work Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Please tell us about yourself. Are you a community member? A local health professional? An OHSU student, faculty or staff? (if OHSU, which department?)
(Note: If you are <18 years old, please let us know.)
Which station(s) are you most interested in working? (Please select all that apply.)
Registration Kiosk Diet Assessment Body Composition Blood Chemistry Genetics Data Entry Evaluation No preference
We're expanding our reach! Tell us in which areas you would like to volunteer at a Let's Get Healthy! fair (select all that apply).
Metropolitan Portland St Helens/Scappoose Bend Madras Hermiston Willamina/Grande Ronde (towards coast) Klamath Falls Eastern Oregon It depends, please notify me about all.
When are you able to work at the fair? Our next fair is Saturday, April 24th, 2010 from 9:00 AM-3PM. We need lots of help! If you're from the Portland area (2h away from the fair), we can help arrange carpools. Please select all that apply.
8:30 AM - 2:30 PM (Canby fair on 7/10/10) 8:30 AM - 1:30 PM (Hermiston, OR fair on 9/25/10) Tuesday, time TBD (La Grande, OR fair on 10/12/10) Wednesday, time TBD (La Grande, OR fair on 10/13/10) 9:30 AM - 3:30 PM (Portland fair on 10/16/10) I can do a partial shift (please indicate days and times below) I can help prepare materials before the day of the fair I am not sure if I am available yet. I am not available, but keep me in mind for the next one.
Are you interested in carpooling?
Yes Yes and I am willing to drive others No
Questions or Comments?
Do Not Fill This Out

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