Free Community Health Fair – Registration English Welcome to ECAC's 2025 Health Fair! Please fill out the participant form to register for the Free Health Screening. Email Last name First Name Age Gender MaleFemalePrefer not to say Race/Ethnicity African American/BlackLatin AmericanAsianWhite/CaucasianAmerican Indian/Native AmericanPrefer not to say Phone number How did you hear about this event? Social Media (Facebook)Places of Worship i.e. Church, Mosque, SynagogueFlyers/PostersLocal TVOther Other A copy of your responses will be emailed to the address you provided. Patient Number Δ አማርኛ እንኳን ወደ ECAC's 2025 የነጻ የጤና ምርመራ በሰላም መጡ! ለመመዝገብ እባክዎ ይህንን የጤና ምርመራ ተሳታፊ ቅጽ ይሙሉ:: ኢሜል የአያት ስም ስም (የመጀመሪያ) ዕድሜ ፆታ ወንድሴትባልመልስ እመርጣለሁ Race/Ethnicity African American/BlackLatin AmericanAsianWhite/CaucasianAmerican Indian/Native AmericanPrefer not to say ስልክ ቁጥር ስለዚህ ምዝገባ እንዴት ሰሙ? ማህበራዊ ድረገፅ (ፌስቡክ)የሀይማኖት ተቋም ቤተክርስቲያን፣ መስጊድ፣ ምኩራብ)በራሪ ወረቀት/ፖስተርቴሌቪዥንሌላ ቦታ ሌላ Patient Number የሞሉት መረጃ በሰጡት ኢሜል አድራሻ ይላክሎታል። Δ
