Registration NAPH - Health Education/ Awareness Session

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NMRC will be conduction health education & awareness sessions for American Indians in the panhandle who want to know about covid19 & flu mitigation. Sessions will be held in Cherry, Sheridan, Dawes and Box Butte Counties. Free PPE and additional incentive will be given to those who participate.

Event Timing: January - June, 2021
Event Address: 332 N Main St. Gordon, NE 69343
Contact us at (308) 221-1203 or naphas@nmrc-inc.org
Txt keyword "NAPHAS" to (833) 579-0997
Msg & Data rates may apply

PPE Kits will be delivered/handed out during your session. Additional incentive will be delivered/handed out after a short follow-up survey at the end of your session.

Name *

Contact Phone or Email , (email preferred for online session) *

City *

Would you prefer an online virtual session? *

Yes

Either

Have you been in contact with anyone who has been exposed or has COVID19? *

Yes

Unsure

I understand that by submitting this form I will reserve my session. *

Yes

Submit

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