wnyhealthystrides@yahoo.com
Registration for Program Providers
& Health Fair Participants
Program Provider Form
Contact name:
Email:
Name of Organization:
Phone:
Address:
Name of Program:
Programs Purpose:
Dates program offered:
Times program offered:
Location of program:
Cost,  if any:
Questions, comments, or feedback:
Providing a program is a great way for your group to fulfill its mission and
connect to new people!
However, time is of the essence!
We need to get the general details of what you will offer by March 14th so that
we can include it in our program guide.
Your program can be available once
a week for six-weeks, or just a single
time, as long as it falls within the time
frame of May 5- June 13th.

They can take place at your facility if
you are located in Ken-Ton, or we
would be happy to host your program
at one of the many locations of our
sponsoring organizations.

The program you offer can include
anything that helps people improve
their health physically, mentally,
emotionally, or spiritually, and can
focus on any age group.

You can offer programs with or without
a fee. And you don't have to invent
something new. If you already plan to
offer a program in our time period,
make it part of Healthy Strides and let
us help you find participants.
Healthy Strides will kick-off this year
with a Health Fair at the Ken-Ton
Showcase taking place at the
Lincoln Arena,
1200 Parker Blvd at Decatur Ave.
Saturday, May 3rd
from 11 AM to 6 PM and
Sunday, May 4th from
11 AM to 4 PM.
Health Fair Table
Organization  name:
Your email address:
Contact Person:
Your phone number:
Address:
Please indicate what
day(s) you plan to attend
the fair and man your
table (space is limited, we will
accommodate on a first come first
served basis)
Comments:
Thank you to all our contributors who have made Healthy Strides a Success.
      
Gelia, Wells & Mohr       
Independent Health    
Kenmore Mercy Hospital   
Ken-Ton Chamber of Commerce       
The Zenger Group
Town of Tonawanda Youth, Parks and Recreation Dept.