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Family Connect 2018 Policies and Procedures Agreement
Family Connect
Family Resource and Health Fair
Hosted by the Nevada Homeless Alliance and the Mobile Health Collaborative

Wednesday, April 11, 2018 from 2:00 pm to 7:00 pm
Cambridge Recreation Center
3930 Cambridge Street
Las Vegas, NV

- Please submit one application per booth. Booth applications can be accessed at:
- Booth applications must be received by Friday, March 30, 2018 at 5:00 pm. No late applications will be accepted.
- Booth applications will be reviewed and verified for accurate information and to ensure services rendered are applicable to this population.
- Signed Policies and Procedures Agreements must be submitted by every staff member that will be in attendance and received no later than Thursday, April 5, 2018 at 5:00 pm.

- If approved for participation, at least one representative from your organization MUST ATTEND the All Provider Meeting at Cambridge Recreation Center on Wednesday, April 4, 2018 from 10:00 am to 11:00 am.
- Booth set up MUST be completed between 12:00 pm and 1:00 pm on Wednesday, April 11, 2018. Late booth set up will not be permitted.

- Each booth includes one table and two chairs. Organizations may decorate their booth however they choose (including table clothes banners, flyers and backdrops, etc.), explaining the agency and its purpose for attending the event.
- Technology (phone, internet, or power) is available, but not guaranteed.
- Booths must remain open and be staffed from 2:00 pm – 7:00 pm. Please have enough representatives and assistance in attendance to ensure this will happen.
- Organizations/individuals must supply their own sign(s).
- No inappropriate solicitation is allowed. This includes offering services that cannot be rendered; are misleading regarding the services that will actually be provided; or that could be harmful to the participants or take advantage of the participants' situation.
- No food can be given from booths, including candy.
- You may not offer giveaways at your booth(s). Giveaways must be distributed through the “Connect Store".
- Only participants are eligible to receive services. Booth representatives and volunteers cannot receive any services.

- Booth teardown is from 7:00 pm - 8:00 pm. Please ensure that you have staff available to participate in event teardown. Before you leave, you must pick up all trash in and around your booth, breakdown your table, and stack your chairs. All information and left-over products must be either thrown away or taken with you.
- If you are able, please provide assistance in tearing down the rest of the event.
- An electronic survey may be sent to all booth staff with regard to follow-up and feedback for the event. Please use the survey as an opportunity to express what went well, what aspects need to be improved on, and offer suggestions for future events.

This organization/individual understands that it/he/she is participating in activities related to Family Connect by its/his/her own choice. This organization/individual agrees to release the Nevada Homeless Alliance, Clark County, the Cities of Las Vegas, Henderson, North Las Vegas, and Boulder City, and Clark County School District from any liability for an injury or illness to this organization/individual during its/his/her participation with Family Connect. We/I assume full responsibility for risk of bodily injury or property damage incurred by the organization/myself arising either directly or indirectly from its/my participation in Family Connect, from any cause whatsoever, whether caused by the Nevada Homeless Alliance, Clark County, the Cities of Las Vegas, Henderson, North Las Vegas, and Boulder City, and Clark County School District active or passive negligence or otherwise. This organization/individual understands this release extends to claims that it/I do(es) not know or do(es) not expect to exist at the time of signing of this release. This organization/individual agrees to indemnify, defend and hold harmless the Nevada Homeless Alliance, Clark County, Clark County School District, the Cities of Las Vegas, Henderson, North Las Vegas, and Boulder City for any liability that may arise as a result of this organization’s/individual’s criminal, willful or fraudulent acts or omissions that occur during its participation in Family Connect. This organization/individual agrees to return all forms and data sheets to Family Connect staff upon completion of its/my participation in Family Connect.

The Nevada Homeless Alliance, Clark County, Clark County School District, the Cities of Las Vegas, Henderson, North Las Vegas, and Boulder City respects the privacy and privacy rights of the people they serve. This organization/individual understands that: 1. The purpose of gathering and sharing private information between survey and service team members is to improve housing and health outcomes for the clients served at Family Connect. 2. Sharing of personal client information will be limited to that which will help achieve this purpose. 3. The unauthorized release of any protected health information may make us/me subject to a civil action for damages. In addition, Federal and State laws protecting information relating to the provision of confidential patient information, including, but not limited to, mental health and substance abuse information may apply. These laws may have additional penalties, including criminal penalties.

This organization/individual hereby agrees that its participants or I may be interviewed and/or photographed/videotaped and that the interview and/or photos/videos are obtained with our/my full knowledge. This organization and its participants/I understand the interview and/or photos/videos that are obtained can be used for the Nevada Homeless Alliance promotional materials without any compensation of any kind being furnished to this organization or its participants/I.

We/I understand and agree to the entire Family Connect Booth Policies and Procedures stated above.

Failure to do so will result in being excluded from this event and the possibility of not being invited to participate in future events.

Please contact Emily Paulsen at (702) 743-1487 or at with questions. Thank You!

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By signing this electronic form, you are confirming that you have read and confirmed your agreement with the above policies and procedures for Family Connect 2018.
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