Medford's Haitian Heritage Month Event Registration
Last Registration Day - May 18, 2024
Attendee Information
Please fill name and contact information of attendee.
Your Name
*
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Select the Haitian Heritage Event(s) in Medford you plan to attend:
Film Screening & Discussion of 1804 at the Medford Public Library - Thursday, May 9, 2024 at 6:30pm
Haitian Creole/English Baby Lap Sit Reading at the Medford Public Library - Saturday, May 11, 2024 at 11:30am
Create Your Own Haitian Art at the Medford Family Network - Saturday, May 18, 2024 from 10:00am - 12:00 pm
Haitian Flag Day Celebration at the Andrews Middle School Auditorium, Saturday, May 18, 2024 from 3:00pm - 5:00pm
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
example@example.com
Contact Number
Please enter a valid phone number.
Would you like to be updated about the upcoming events?
Yes
No
Will you bring a guest/guests with you?
Yes
No
Guest Name 1
First Name
Last Name
Age
Guest Name 2
First Name
Last Name
Age
Guest Name 3
First Name
Last Name
Age
Guest Name 4
First Name
Last Name
Age
Submit
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