Maternal Health Fair 2026 Registration Form

Join me for my 2nd Annual Maternal Health Fair on Thursday, October 8th, 4:00-7:00 PM at East End Cooperative Ministries, 6140 Station Street, Entrance A, Pittsburgh, PA 15206.

If you wish to attend, please fill out the registration form below. For questions, call 412.665.5502 or email RepMayes@pahouse.net

Full Name:* First Name:*

Last Name:*

Email Address: *Email: *

Phone Number: *Phone: *

Address: *

City: *

State: *

Zip Code: *

Are you pregnant or have you had a baby in the last year? *

Yes No

Do you need a blood pressure monitor? *

Yes No

Do you have health insurance? *

Yes No