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Community Events Request Form

  1. What type of information or education would you like provided to attendees?
  2. Has CHA attended the event previously?
  3. Bilingual staff needed?
  4. What items will be available?
  5. If less than 20 people, CHA staff will contact event organizer.
  6. Participant / Audience Description:
  7. Does your event require a cooking demonstration?

    Please visit: and complete the Specialty Class Registration and Interest form.

  8. Briefly describe the Participants / Audience for your event.

  9. Cabarrus Health Alliance makes every effort to staff all requests for our participation in community events. Your request must be submitted a minimum of 30 days prior to event date. Once your request is received, we will respond within ten (10) business days.
  10. Leave This Blank:

  11. This field is not part of the form submission.