Summer Resource Fair 2018 Exhibitor Registration
Agency/Program Name (Please do not abbreviate or use acronyms) *
Your answer
First and Last Name of Primary Contact Person *
Your answer
Email Address of Primary Contact Person *
Your answer
Phone Number of Primary Contact Person *
Your answer
Zip Code of Location Summer Program Primarily Takes Place. Select all that apply. *
Required
Agency/Program Website *
Your answer
Program Start Date *
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Program End Date *
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Hours of Operation (i.e. Monday to Friday, 9am to 5pm) *
Your answer
Please describe the schedule and structure of your program (do youth attend on a daily or weekly basis, or for the entire summer? Can youth attend for more than one week? Etc.) *
Your answer
Approximately how many children do you expect to serve on an average day this summer? If you have multiple sites, please enter the number of children you expect to serve on an average day across all sites *
Your answer
Select the Section of the Fair You Would Like Your Table to Be In. Selections are not guaranteed, but we will do our best to honor requests. *
Required
Age Groups Served. Select all that apply. *
Required
Does your program offer jobs or volunteer opportunities for teens? *
Does your program charge a fee? *
Cost of Program (if applicable)
Your answer
Financial Aid Available (if applicable)
Is Extended Care Available? *
Are fees charged for Extended Care? If so, detail them here.
Your answer
What transportation options are available for your summer program participants? *
Your answer
How is your program funded? Please select all that apply. *
Required
Please indicate the languages spoken at your agency. Select all that apply. *
Required
Is your agency interested in offering an interactive exhibit for children/youth at your table at the Summer Resource Fair? If yes, please describe the interactive program you would like to offer (art, games, etc.). Please note: wifi and electrical outlets will not be available.
Your answer
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