Mancave Talks Registration Form
Please answer the questions below. As a reminder, there will be free giveaways for those who attend in person. Thank you for joining us!
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1.
What is your First Name?
(Required.)
*
2.
What is your Last Name?
(Required.)
3.
What is your phone number? (optional)
*
4.
What is your email?
(Required.)
*
5.
What is the agency, community group, faith-based organization, school, fraternity, or other organization you represent? Please write below. If none, then put N/A.
(Required.)
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6.
What is your zip code?
(Required.)
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7.
How will you attend the event? (check one)
(Required.)
In-person
Virtually (online)
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8.
How did you hear about the Mancave Talks event?
(Required.)
*
9.
What topic or health condition do you want more information about?
(Required.)
10.
Would you like to be added to the list for future men's health events? (check one)
Yes
No
Thank you for registering!
If you plan to attend virtually, a link will be emailed to you. We look forward to seeing you there!
Community Health Equity & Inclusion Team
Tarrant County Public Health
PH_HECE@tarrantcounty.com
817-321-5930
