2018 Health Fair Exhibitor Application
Application is due on September 14th
Name of Organization *
Will be published in the media.
Your answer
Organization Email *
WIll be published in the media.
Your answer
Mailing Address *
Your answer
Phone *
Will be published in the media.
Your answer
Contact Person *
Will be published in the media.
Your answer
A map will be created to help visitors find your exhibit. In 30 characters or less, what label should be used for your booth? *
Your answer
How many tables would you like Rotary to provide for you? *
Do you need a wall behind your exhibit? *
We cannot guarantee your location but please tell us your preference. *
Do you wish to be located next to or near another exhibitor?
Leave blank or list the exhibitor you want to be near.
Your answer
If you have any comments you would like to share or anything we need to know about your display or space needs, please note that below.
Your answer
How will your exhibit reflect the theme “It’s your life, take a day to be well!” and the overall theme of the Health Fair, which is to promote individual health? What is the educational message of your exhibit? *
Your answer
Please give a brief description of your exhibit (displays, activities, demonstrations) and describe any materials you wish to distribute. *
This info will be published in the media for promotion of the Health Fair. Please be clear and concise about your booth (limit to 50 words).
Your answer
Do you plan to offer any health screenings or vaccinations?
If so, please describe.
Your answer
I have read the Standards for Homer Health Fair Exhibitors which were emailed separtely and I agree to abide by them. I agree to hold the Homer Kachemak Bay Rotary Club harmless if I depart from these standards. *
By typing my name (answer) below I am electronically signing this application for myself and on behalf of my organization listed above. I understand this information may be used for marketing and the media.
Your answer
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