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Health Department

Health Department Community Event Request Form

Notice Regarding Use of Lentz Centennial Rooms

All Centennial meeting rooms at the Lentz Public Health Center are strictly reserved for the Metro Public Health Department’s use during the COVID-19 outbreak. We will re-post the public application form when the situation permits.

We apologize for any inconvenience, but at the same time remind all event organizers that gatherings of people should be limited at this time. We encourage you to consider seriously whether it is critically important that you meet in person right now. If you must, we strongly encourage you to use teleconferencing or other remote means to allow participation other than in-person attendance.

Community Event Request Form Instructions

Thank you for your interest in having programs and staff from Metro Public Health Department (MPHD) participate in your upcoming event. If your event is within the next three to eight weeks, please completely fill out the form below.

All requests are reviewed once received. Please note our ability to honor your request is based on staffing, date and target audience. This form only acts as a notification to the appropriate person or programs to request participation.

The Health Department does not offer cholesterol screenings or blood pressure checks at health fairs.

Community Event Request
Contact Person Information

Sponsoring Organization Information

Date must be in the future.

Date must be in the future.

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