Please check one:
Would you like to be on the contact list for future events?
Yes
No
What is your email?
Other
What is your email?
Other
Are you insured?
Yes
No
Textable phone number
Other
Would you like to have access to a free assistant for bathroom and food breaks?
Yes
No
What is you FB?
Other
If yes, what will you be donating and it's value:
Signature:
Date:
-
Month
-
Day
Year
Date
Accepted:
Yes
No
Booth Number:
Power Assigned:
Yes
No
Notes:
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Submit
*You will be sent an email if you are approved for the event at that time you will be instructed to make a payment*
Should be Empty: