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Healthy Tri County Interest Form
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1.
Name
(Required.)
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2.
Email Address
(Required.)
3.
Phone Number
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4.
Are you ......
(Required.)
A community member passionate about health
A member of an organization that might be interested in becoming a member of Healthy Tri County
A leader of an organization that might be interested in becoming a member of Healthy Tri County
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5.
How would you like to stay involved?
(Required.)
Become a member
Help with the Community Health Implementation Plan
Join A Workgroup
Participate in Conversations on Health
Join The Newsletter
Get more information from the HTC team
6.
If you are interested in joining a workgroup, which workgroup would you like to be involved in?
Health Data Workgroup
Obesity Nutrition and Physical Activity
Wherever There Is Need
7.
Who is one person not in attendance today who should be at the table when discussing the health of our community?