Please fill out the form below for each event your health center plans to host.
To edit event information once you have submitted it, please contact Kate Graetzer at firstname.lastname@example.org or 518-434-1115.
Please press the submit button at bottom of page. You will receive a confirmation message shortly.
Before submitting this form, please click on the link below to move the contents of box "A" into box "B" leaving the first box empty.
A: B: Click to Move