FOCUS presents "Virtual Vitality: Hope for the High-Risk Health & Wellness Fair 2020"

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Event Timing: Saturday October 24th, 10am-12pm
Event Address: On-line
Registration Required

FOCUS: Addiction Prevention Coalition 2020 Health and Wellness Fair

Do you understand you are not eligible for the Gift Cards and Gift Basket give-a-ways, if you do not register by 10/21?

Yes

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First and Last Name *

Email *

Cell Phone *

Do you have children in the Lancaster/Depew School District? *

Yes

If children in the Lancaster/Depew School District, how many and what grades are they in? (Write N/A if N/A) *

What substance are you most concerned with in our community? *

Alcohol

Marijuana

Vaping

Heroin'Pain Pills

What aspect of Health are you most concerned with for you and your family since COVID?

Mental Health

Emotional Health

Physical Health

Spiritual

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Have you ever heard of FOCUS: For Our Community Unity & Support Addiction Prevention Coalition? If so, from where? *

Yes

Other:

Required

Would you like to get involved in our organization?

Yes

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