Partner Registration Form - Resource Vendor
Please complete this form to prepare for your participation at our Connect Day on July 18, 2026 for Youth and Families.
Organization's Name
*
Lead Contact's Name
*
First Name
Last Name
Lead Contact's Email
*
example@example.com
Lead Contact's Cell #
*
Please enter a valid phone number.
Format: (000) 000-0000.
Additional Staff Contact Info (Optional)
Additional Staffer's Name
Additional Staffer's Email
example@example.com
Additional Staffer's Cell #
Please enter a valid phone number.
Format: (000) 000-0000.
Populations You Primarily Serve (check all that apply)
*
Transitional Age Youth (ages 16-24)
Families with minor aged children
Adults (ages 25+)
Brief services you'll be offering
*
We will be providing a pop canopy, 1-6' table and 2 chairs. Please let us know if you need anything else.
We encourage you to bring your own tablecloth with your organization's name, but we can also provide a plain one for you. Will you need one?
*
Yes
No, we'll bring our own
Not sure
We will be raffling gifts throughout the event. Might your organization consider donating such a gift like a gift card or themed basket (suggested value $25-$50)?
*
Yes
Not sure
Submit
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