Health and Wellness Block Party

August 8th

11am - 6pm

807 Wallace Ave.

Wilkinsburg, PA 15221

Health and Wellness Block Party Guest Registration Form
* Name
   Phone number (xxx-xxx-xxxx)
* Email address
   Street address
   City
   State
   Zip code
   Number of complimentary tickets
   Ticket holder 1 name
   Ticket holder 2 name
   Ticket holder 3 name
   Ticket holder 4 name
   Ticket holder 5 name
* How did you hear about this event?
   If other please specify
* Enter number below to submit form

Contact

For more information, please contact us at 412-342-1286 or wellness@hosannahouse.org.