Partnership Form
Please complete this form if you plan to participate in More Life Fest hosted by CommUnity Cares in Boston, MA. The festival will occur on September 9, 2023 at Harambee Park. Rain date, September 17, 2023.
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Primary Partner Contact
Please list your key day-of event staff in this section.
Primary Partner Contact Name
*
Primary Partner Contact Email
*
example@example.com
Primary Partner Contact Role
*
Primary Partner Contact Phone
*
Would you like to add a secondary contact?
*
Yes
No
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Secondary Partner Name
Secondary Partner Contact Information
Secondary Partner Contact Email
example@example.com
Secondary Partner Contact Name
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Organization Overview
Tell us more! Our team would like to know more about your organization/institution or the role you'd play as a CommUnity partner.
Organization Name
*
Organization Mission/Value Statement
*
Social Media Handle(s)
*
Organization Type
*
Hospital or Medical Organization
Community Health Center
Vendor (Non-Food)
Non-medical Non-Profit
Non-Medical Corporation
Association/Network/Collective/Foundation
Advocacy or Political Organization
Food Truck or Food Vendor
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Hospital or Medical Organization or Community Health Center
Area of Focus (select all that apply)
*
Cardiovascular
OBGYN
Endocrincology
Primary Care
Pediatrics
Dermatology
Neurology
Ophthamalogy
Oncology
Other
How many providers will you have on site?
*
How many patients can you accommodate at a given time?
*
Do you (or the providers) have malpractice insurance that is applicable on the day of the event?
*
Yes
No
Will you be handling bodily fluids, sharps or other waste? If so how do you plan to dispose of hazardous materials?
*
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Vendor (Non-Food)
Please note, there is a $20.00 fee to vend.
What is the name of your business?
*
What product or service do you offer/sale?
*
Please provide the relevant licensure and/or copyright to sell your product.
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Non-medical Non-Profit
Please briefly describe your area of focus (Housing, Food Insecurity, Harm Reduction, etc)
*
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Non-medical Corporation
Please briefly describe the type of organization (Pharmacy, Grocery Store, Bank, etc)
*
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Association/Network/Corporation/Foundation
Please identify the work your organization supports (select all that apply)
*
Public Health
Medical
Research
Non-profits
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Advocacy or Political Organization
Please briefly identify your main topics of interest below
*
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Food Truck or Food Vendor
Please note, there is a fee to vend food.
Will you be selling food from a food truck or in a tent?
*
Food Truck
Tent
Do any of these apply to your food offerings?
*
Healthy Foods
Sustainably Sourced
Culturally Relevant
Please upload a menu for More Life Fest (**this menu will be used for marketing and promotion**)
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Organizational Overview (cont.)
Please identify if any of these apply (select all that apply)
Black-owned business
Locally-owned business
Minority-owned business
LBGTQ-owned business
Women-owned business
Co-op/Collective
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Day-of Details
Please let us know what you need on the day to be most successful.
Please specify the type of space you are requesting. We have included the costs below.
*
Table ($20)
Standard 10x10 Tent ($110)
Tent with Curtains ($140)
Outdoor Space for Games and/or Activities
Outdoor Space (bringing own table/tent/set-up)
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How much space will you require for your outdoor activity. Please provide in feet: Length x Width. For example "100 x 300" or "200 x 75"
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Day of Details (cont)
The festival starts at 12pm. We recommend set-up to begin no later than 10:30am.
Please provide the time you expect to set up your installation
*
Hour Minutes
AM
PM
AM/PM Option
Please provide the time you expect to break down your installation
*
Hour Minutes
AM
PM
AM/PM Option
Will your installation require any of the following?
Electricity access
Water access
Cooling stations
Please specify the nature of your activation
*
Product sales
Service provision
Games and activities
Will you be providing any free giveaways?
*
Yes
No
If yes, please describe what you will be providing to attendees for free, and an approximation of how many giveaways you have.
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Does your service require licensing or regulating to ensure health and safety?
Yes
No
Please provide the necessary licensure to provide your services.
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Please provide a brief description of the activity you will be coordinating.
*
Does the game or activity include a reasonable risk of injury (e.g. a sport like a soccer or basketball)
*
Yes
No
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Brand Elements
We are excited to add your logo, links to your website/media, and information about any giveaways you may be offering directly to our website. We expect significant traffic on the website during the festival and hope that your presence on the site will give potential clientle more opportunities to interact with you.
I am an authorized signer for my respected company.
Yes
No
I consent for CommUnity Cares to utilize the logo of my company/employer in marketing and promotional material.
Yes
No
Please upload any branding, ads, or coupons you would like displayed on the website.
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Please add the URL link to your website
Please add the URLs for any links to discounts, ads, or sign-ups
If you would like a primary point of contact displayed on the website, please add the full name of the primary point of contact
First Name
Last Name
If you would like an email displayed on the website, please add the website
example@example.com
Please let us know any special requests, ads, promotions, disclaimers, or legal notices associated with branding and marketing.
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