Community Day Event Registration Form

Community Day Event Registration Form
Join Children's Health Fund for a FREE, fun-filled day for Harlem’s children and families. This event will feature education, games, food, free haircuts, healthcare screenings, live music, employment information for teens/young adults, and giveaways aimed at giving back to the vibrant Harlem community. Healthy Harlem, Healthy Kids!

Date: Monday, October 7th

Time: 2pm - 6pm

Location: Central Harlem

Ages: Children of All Ages (0-21) & Families
Parent/Guardian's Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Organization (If Any)
Enter name of affiliated Community Based Organization, School, or other affiliation
Zip Code

Street Address

Street Address Line 2

City

Postal / Zip Code
Children's Information
Should be Empty: