PRODUCT VENDOR REGISTRATION PACKET

PRODUCT VENDOR REGISTRATION PACKET
EVENT TITLE:
5^TH ANNUAL A DAY IN THE PARK
SICKLE CELL DISEASE EDUCATION, AWARENESS, BLOOD DRIVE & MEMORIAL WALK 2026
EVENT DETAILS
DATE: April 18^th, 2026
TIME: 11AM - 4PM
SETUP TIME: 10 AM
LOCATION: CRAIG RANCH REGIONAL PARK - GARDEN PLAZA
658 W. Craig Road, North Las Vegas, NV 89032
POINTS OF CONTACT - EVENT:
Cheryl Wiley, Event Consultant
Email: cheryl.wiley.btg@gmail.com
Phone: (702) 845-2188

PRODUCT VENDOR REGISTRATION FORM
Business Name:*
Contact Name:*

First NameLast Name
Contact Email:*
example@example.com
Website
Facebook
Instagram
Contact Phone #:*
Mailing Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PRODUCT DESCRIPTION:
(All Vendors are responsible for their setup, breakdown, and all items required)
ARTISTIC/CRAFT:
Identify the type of craft
SERVICES:
Identify the service being offered
$50 fee per each space - Payment is required upon Registration to reserve your space.
Electronic Payment Method: Select method of payment*

Zelle ascdofnv@gmail.com$BridgingTheGapASCD

RELEASE OF LIABILITY FORM
In consideration of my participation in BTG's 5^th Annual A Day In The Park – Sickle Cell Disease Education, Awareness, Blood Drive & Memorial Walk, on behalf of myself and my heirs, spouse, legal representatives, devisees, legatees, executors, administrators, successors, and assignees, I hereby waive, release and forever discharge any and all rights and claims for damages which I have, or may have, or which may hereafter occur, to me against BTG all counties, special districts, and properties through or upon which the BTG Event will be held; or against its, or their, respective officers, employees, agents, representatives, successors, directors, members, promoters, sponsors, advertisers, owners and any other parties who may have liability to the Releasor(s) and/or assigns for any and all injuries or damages, which may be sustained or suffered by me or by other persons in connection with my association, with or participation in and/or arising out of my traveling to or from the event.

I verify that I have full knowledge of the risks involved in this event; and I hereby assume all risks, known or unknown, foreseeable, or unforeseeable, patent or latent, that exist or may exist in connection with this event. I also hereby permit the use of my name, likeness, image, picture, or other representation in any broadcast, telecast, print media account, or marketing of the Event.
Authorize Signature:*

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Printed Name:*
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Date:*

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A confirmation email will be sent upon receipt of the required forms.
Clicking submit acknowledges that you have received, read, and will comply with the vendor terms and conditions included in this registration packet.
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PRODUCT VENDOR REGISTRATION PACKET

EVENT TITLE:

EVENT DETAILS

POINTS OF CONTACT - EVENT:

PRODUCT VENDOR REGISTRATION FORM

PRODUCT DESCRIPTION:

RELEASE OF LIABILITY FORM