6th Annual "Healthy Bodies and Healthy Minds" Jurupa Valley Health Fiar

6th Annual Healthy Bodies and Healthy Minds

Community Fair and 100 Mile Club Run

Saturday | October 29, 2016 11am - 3pm

Agate Park 8623 Jurupa Rd., Jurupa Valley 92509

FREE Vision Screenings & FREE Eyeglasses | 8am - 2pm Located behind Agate Park at Jurupa Middle School

HEALTH SCREENINGS

Dental | Vision | Body Fat | Blood Pressure| Glucose and much more!

MUSIC & ENTERTAINMENT Games | Arthritis Foundation Exercise Program | Ballet Folklรณrico | Tai Chi | Zumba | Gladiator Jouster | Rock Wall and more!

INFORMATIONAL BOOTHS Health Coverage | Nutrition | Youth Development | Mental Health | After School Programs | Medical Information | Education | Substance Abuse | Breast & Cervical Health | Support Services for Seniors | Child Care Resources | Family Guidance Counseling | Citizenship | Police Safety and more!

ACTIVITIES FOR KIDS Face Painting | Riverside County Sheriff | Riverside County Fire Department and much more!

Event brought to you by:

Cuerpos Sanos y Mentes Sanas 6 Feria Comunitaria Anual y Club de Carreras de 100 Millas ta

Sábado | 29 de Octubre 2016 11am - 3pm

Examenes de la vista y Anteojos GRATUITOS | 8am - 2pm

Localizado atrás del Agate Park en Agate Park Jurupa Middle School 8623 Jurupa Rd., Jurupa Valley 92509

PRUEBAS DE SALUD Dental | Visión| Grasa Corporal | Presión Arterial | Glucosa ¡y mucho más!

MÚSICA Y ENTRETENIMIENTO Juegos | Ejercicio para Artritis | Ballet Folklórico | Tai Chi | Zumba | Gladiator Jouster | Pared de roca para escalar

PUESTOS DE INFORMACIÓN Seguro Médico | Nutrición | Programas Para Adolescentes | Salud Mental | Educación | Seguridad | Salud del Seno y de la Cervix| ServiciosPara Mayores de Edad | Recursos Para Cuidado de Niños | Consejería Familiar

ACTIVIDADES PARA NIÑOS

Pintura de Cara | Departamento del Sheriff | Departamento de Bomberos del Condado de Riverside ¡y más!

Evento traído a used por:

6th Annual Healthy Bodies and Healthy Minds Community Fair and 100 Mile Club Run

Vendor Registration Form We will reserve a 6-foot table, chairs, and small lunch for your organization. The fair will be outdoors and you are welcome to bring your own canopy. Please fill out this form and mail or fax to: Gilbert Espinoza Riverside Community Health Foundation, 4445-A Magnolia Ave., Riverside, CA 92501 Gilbert@rchf.org, Fax: (951) 788-3589 Office: (951) 788-3471

Date: Saturday, October 29, 2016 Registration/Set-up time: 9:30am to 10:30am Event time: 11am to 3pm Place: Agate Park 8623 Jurupa Road Jurupa Valley, CA 92509 Organization ____________________________________________________________________ Contact Person __________________________________________________________________ Phone _____________________________ Fax

Address ___________________________________

______________________________

City __________________________________

Email ____________________________________________

Zip Code __________________

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Number of people attending: _____________

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Number of chairs and tables needed: Chairs ____________ Tables ______________

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Type of information/services provided: _______________________________________________ _________________________________________________________________________________

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Target population: ________________________________________________________________

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Other comments or request: ________________________________________________________

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Will your organization be donating a door prize for the raffle?

Yes

No

Description of Door Prize: _____________________________________________ Waiver and Release Agreement It is understood that I, the above signed participant, cannot participate in the 6th Annual Healthy Bodies and Healthy Minds Community Fair and 100 Mile Club Run until this WAIVER form has been completed and approved by the Riverside Community Health Foundation. RCHF, it’s Organizers, and affiliates are not responsible for your equipment, materials, display, your loss of income, bodily injury or loss of life caused by fire, rain, windstorms, earthquakes or other natural disasters.

I herby give free use of my name and picture in any broadcast, social media, telecast or print media of this event.

I acknowledge that I have read the above and do fully understand the Riverside Community Health Foundation and affiliates are not responsible if something were to happen to me. For more information please call, (951) 788-3471.