1 Mile for Public Health Parade and Community Day 

* 1. What is your full name?

* 2. Contact number and email address

* 3. What is your age?

* 4. What is your gender?

* 5. Emergency Contact

* 6. What isĀ your desired level of participation?

* 7. What is your affiliation?

* 8. Medical accommodations

* 9. Your feedback matters, will you be interested in taking a brief survey following this event?

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