Camp Bandage Grand Lake Booth Registration
Please fill out this form if you or your organization want to have a booth or do a presentation at Camp Bandage.
Camp Bandage will happen regardless of the weather.
* Required
Organization Information
Tell us some details about your organization.
Organization Name
*
The name of the organization that is presenting and/or setting up a booth.
Your answer
Contact/Presenter
*
The name of the person to contact regarding this registration.
Your answer
Address 1
Your answer
Address 2
Your answer
City
Your answer
State
Choose
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip
Your answer
Email
*
Your answer
Phone
*
Your answer
Details
Tell us about your booth/presentation
Booth/Presentation Description
*
Please describe the services/safety education your booth will provide.
Your answer
Special Arrangements
Please describe any special arrangement needed for your booth/presentation
Your answer
Electricity
Does your booth need electricity?
Choose
No
Yes
Tables
Please select the number of tables needed for your booth.
Choose
0
1
2
3
Chairs
Please select the number of chairs your booth will need.
Choose
0
1
2
3
4
5
Location
Does your booth need to be under a tent or can it be out in the open?
Choose
Under tent
In the open
Banner or Backdrop
Do you have a banner or backdrop for your booth that needs to be hung?
Choose
No
Yes
Giveaways
Can you offer any of the following giveaways (for children safety items, first aid kits, reflectors, bike helmets, etc. are especially desired).
Door Prizes
Gifts
Safety Items
First Aid Kits
Helmets
Goodie Bag Items
Other:
I, the undersigned, do hereby release and hold harmless Camp Bandage, their committees, Board of Directors, and the City Council(s) of any attending municipality, from any and all responsibility, claim, cause and action, injury, judgment or other charge of any nature whatsoever directly or indirectly caused by willful or negligent acts of any person and/or entity arising from my participation in/or presence at Camp Bandage. Sponsoring parties and organizations shall not be liable for the result of: any accident, damage, lost profits, thefts or any other loss to any person, article, or employee, by or the possession of myself while on the ground of the festivities, whether such occurs during the time of preparation, for the period of the event, or the removal of the equipment or material after the event. Sponsoring parties reserve the right to reject any application for any reason or ask any party to leave the event premises. By clicking I agree and submitting this application I have read the above release and attached rules and regulations to the entry form and agree to abide by them.
*
I Agree
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Camp Bandage.
Report Abuse
Forms
