NHW Week Event Registration
Full Name
First Name
Last Name
E-mail
Phone Number
-
Area Code
Phone Number
Date of Event
-
Month
-
Day
Year
Date
Time of Event
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Location of Event
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Estimated Number of Attendees
Please provide a brief description of the event e.g.: BBQ at the park
Would you like NHWNT to create event invites based on the information above and email these to you?
Yes
No
Would you like NHWNT to promote your event on our social media?
Yes
No
I have read and understood the information in the Event Kit and agree to host my event in a safe and inclusive manner
Yes
No
I agree to provide NHWNT with a post event report
Yes
No
I hereby indemnify NHWNT of any responsibility or risk associated with Event.
Yes
No
Register Event
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