Thursday, May 16, 2019 at Panther Valley Intermediate School
(4-7 pm)

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* 1. Name

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* 2. Organization

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* 3. Email Address

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* 4. What activity/demonstration will your group be doing at the Health Carnival?

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* 5. Will you be needing to rent a table from the Lansford Fire Company for a $10 donation (which you can pay at the Health Carnival)? 

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* 6. Do you need any special accommodations, such as access to electricity, indoor space, etc. ?

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* 7. Would your organization be interested in donating a door prize?

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