2023 Dash for disABILITIES Vendor Form

Rock'n Our Disabilities Event Vendor Form
Name*

First NameLast Name
Company (optional)*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*

Confirmation Emailexample@example.com
Description of the booth fill in* .
Cost per booth: $40.00 Vendors will provide their own equipment i.e.:

For outdoor events: Canopies, tables, chairs, weights for canopy, etc. (participant must provide their own weights). No electricity or running water is available.

Set-up time: vendors can begin set-up at 6:00 AM, and the breakdown is at 10:00 AM Vendors are responsible for leaving the area in the same condition as they found it.

We reserve the right to censor any booth.

Registration: The vendor form must be submitted one week before the event!

Vendors so Far:

Amazing Grace Hospice Inc
Chase Bank
Children's Choice Dental Care
Craftingbeautiesbyjudy
Department of Aging and Adult Services
DPH Public Health Ambassador Program
Family Assistance Program
Humana
If I Need Help
Institute for Behavioral Health
La Michoacan plus
Maxim Healthcare Services
MCDC
New York Life Insurance
Scentsy Independent Consultant
Target DC 3806
T-Mobile
AGREEMENT AND RELEASE OF LIABILITY I, the undersigned, understand the following: * Rock'n Our Disabilities Foundation does not provide participants with medical insurance or treatment for injuries. * I agree to hold harmless and release Rock'n Our Disabilities Foundation, its officers, agents, and employees from all liability arising from or related to my participation in the Dash For disABILITIES for Special Needs families program activities. This release includes, but not limited to, all liability for death, personal injury, or property damage resulting from the active or passive negligence of the Rock'n Our Disabilities Foundation or its agents or any defective or hazardous condition of any property or equipment owned, operated or maintained by the Rock'n Our Disabilities Foundation.

The Agreement and Release of Liability are signed with the full knowledge of all members representing your party in the event. In ADDITION, the undersigned certifies that the foregoing application has been read and understood and any statements made in connection with the application are true and accurate.

The applicant agrees to comply with all the rules and regulations established by Rock'n Our Disabilities Foundation as stated on this application.
Signature*

Clear
My Products
prevnext( X )
Dash for disABILITES Vendor Booth$40.00
Dash for disABILITES Vendor Booth

Pay by Check or cash - $40.00 $ Free
Drop off at 13558 Palm Street, Hesperia, CA 92344. Hours: Monday - Friday, 9-2 PM. Please hit PayPal to checkout. You will not be charged. Please mail check to RODF 14631 Equestrian Court, Victorville, CA 92394

Total $0.00
loading smart payment buttons...

The payment is ready! It will be completed once you submit the form.
Should be Empty:

Rock'n Our Disabilities Event Vendor Form