CHW Registration Form

2nd Bi-Annual Training for Community Health Workers

Thank you for planning to join us for our training on Wednesday, April 22, from 8:30 a.m. to 1:30 p.m. at the Success Square Conference Room, 131 E. Walker St., Orland. We’re excited to have you there! Please take a moment to fill out the registration form below.

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* 1. Name

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* 2. Email

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* 3. Company/Organization

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* 4. Job title

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* 5. Submit any questions for the training here