World Asthma Day
Resource Fair Registration Form
Representative Name
First Name
Last Name
Email Address
*
example@example.com
Phone
*
Format: (000) 000-0000.
Organization Name
*
Type of Organization
*
Please Select
Clinic
Health Plan
Community Based Organization
Other
How many representatives will attend?
*
Please Select
1
2
3
4
5+
What type of information will your organization provide?
*
List any diet restrictions (N/A if none)
*
Additional Information
The event will take place on May 2nd, 2026 from 10am to 2pm at Martin Ray Reilly Park (750 N Chestnut Ave, Fresno CA 93727). Setup will start at 9:00am. CCAC will provide lunch and water for all resource fair participants. Each organization is responsible for bringing their own table, chairs and canopy (highly recommended).
Partner with CCAC
Should be Empty: