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* 1. What is the name of the falls prevention activity you are planning?

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* 2. When will this activity happen?

Date
Time

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* 3. Where will the event happen? (This may be a physical address or online).

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* 4. How can a person join the event? (This can be a link to register or a phone number to get more information).

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* 5. Please provide any additional information about this event that you would like to share. (This can be a description, participant cap, or other information that is relevant).

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* 6. How can I reach someone for additional information about this event if I have questions?

T