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Riverside Health 2024 FREE Flu Vaccine Clinic Listing—Find One Near You!

Community Benefit Event Application

ALL FIELDS REQUIRED. If all fields are not completed, the form will not submit properly. Press the Submit Application button at the bottom to send the form to the Marketing and Communications Department who will review the request. If you wish to include a flyer with your submission, please email your document to Debbie Campbell at [email protected]

Community Benefit Event Application Instructions

Organization Information

Event Information

Community Impact

ALL FIELDS ABOVE ARE REQUIRED. If all fields are not completed, the form will not submit properly.