Register Your OHANCAW Event
Please complete this form once for each event your organization/institution will be hosting in 2020. For example, if you are hosting 3 events, you will need to complete this form 3 times.
Host Information: Provide your contact information.
Who should members of the public contact with questions about this event, such as how to register, where to park, etc.?
Each event is eligible to receive a free screening kit that includes screening forms, posters, volunteer t-shirts, education materials, etc.
Would you like a screening kit for this event?
Should we send the screening kit to you?
If the screening kit should go to someone other than you, please complete the fields below. If you indicated that the kit should ship to you, you do not need to complete the fields below.
ORGANIZATION NAME ORG ADDRESS LINE 1 ORG CITY, ORG STATE ORG ZIP ORG CONTACT PHONE ORG CONTACT EMAIL
Your event was submitted successfully!