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Use the following form to request the Charlotte County Health Department attend your event.
When is your event going to take place?
How long do you expect the event to last?
Where will your event take place?
Estimated number of people to attend?
Has your agency hosted this type of event before   How many people were in attendance last time?

What are the expectations/requests of the health department?

Contact Name:

Contact Phone:

Contact Email: 

To submit your information, please enter the number you see into the box. Then press submit.