Monthly Facility Events This form allows Activity Directors to fill out their monthly facility events with ease. Submittor DetailsSubmittor Name* Enter your name.Submittor Email* Please enter your Alaris email so that we may contact you regarding this submission if need be.Event DetailsFacility*-- select a Location --Alaris Health at BelgroveAlaris Health at Castle HillAlaris Health at Cedar GroveAlaris Health at Hamilton ParkAlaris Health at KearnyAlaris Health at St. Mary'sAlaris Health at The AtriumAlaris Health at The ChateauAlaris Health at West OrangeAlaris Health Dialysis at Hamilton ParkCare Connection RahwayPlease select a facility.Event Title* Title of the event.Description*Description of the event.Date* MM slash DD slash YYYY Date of Event.Start Time* : Hours Minutes AM PM AM/PM Starting time of the event.End Time (Optional) : Hours Minutes AM PM AM/PM Ending time of the event.Location/Room* Location or room of the event.Open to Public?* Yes No Upload Image(s) (Optional) Drop files here or Select files Accepted file types: jpg, gif, png, jpeg, Max. file size: 64 MB. Upload images to be placed in event on website.EmailThis field is for validation purposes and should be left unchanged.
