SCRS' Trunk or Treat Spooktacular Event - San Bernardino, CA - Oct. 16, 2021 - 5pm - 8pm
Esteemed Community Vendor: Thank you for your interest in our inaugural "Trunk or Treat Spooktacular Event". This Google Form is being provided to you as a means to register as a vendor for the event, to be held on Saturday, October 16th, 2021 from 5:00 P.M. to 8:00 P.M. at our SB Office, 1950 S. Sunwest Lane, San Bernardino, CA. Please fill out the below form in its entirety no later than September 15th. Any questions or concerns, e-mail Hector Ochoa, at -- One (1) table, two (2) chairs and a canopy will be provided to each confirmed vendor. Further event Instructions for vendors will be emailed closer to the event date. We remind all confirmed registrants that all SCRS-IL sponsored/hosted events are scent-free and we ask that you kindly adhere to this during your participation. Also, due to the fluidity of the COVID-19 pandemic, this event will be adhering to all local/state ordinances enacted at the time of the event for everyone's safety, including social distancing where possible, use of face coverings and hand sanitizing throughout.

**Please ensure you receive e-mail confirmation of your participation as a vendor. This is on a first come, first serve basis and we do not guarantee availability until an organizer confirms your space.**

Liability Notice:
Participant, which shall include its parents, legal guardian (if under aged) or heirs, representatives, and assigns do hereby release, waive, discharge, and covenant not to sue Southern California Rehabilitation Services (DBA Southern California Resource Services for Independent), its officers, employees, and agents and release (SCRS) from liability and any and all claims resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, the participation in the tournament and anything arising from the aforementioned event(s) or activity. Assumption of Risks: By choosing to voluntarily participate in the Trunk or Treat event, it is acknowledged that participation carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid, accidents, mistakes, errors or omissions or personal injury. The specific risks may vary from physical harm, bruises, dislocations, broken bones, death or even a lapse in judgment that may cause physical, emotional or mental harm to a person. Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD the SCRS and Its Board of Directors HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees or medical costs brought as a result of my participation in this activity/action and to reimburse SCRS for any such expenses incurred.
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Email *
Registrant First Name *
Registrant Last Name *
Registrant Mailing Address *
Registrant Telephone Number *
Registrant Mobile Number *
Registrant Website
Registrant Facebook URL
Registrant Twitter URL
Registrant Instagram Account
Full Name of Event Liaison #1
E-Mail of Event Liaison #1
Mobile Number of Event Liaison #1
Full Name of Event Liaison #2 (if applicable)
E-Mail of Event Liaison #2 (if applicable)
Mobile Number of Event Liaison #2 (if applicable)
Registrant/Liaison Reasonable Accommodation Request
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Additional Comments:
I affirm that as a vendor participant, I will ensure our 10x10 vendor space at the event is fully decorated in Halloween-themed decorations and that candy/treats and resources are provided. *
Furthermore, my organization/entity can sponsor the Trunk-or-Treat event in the following way (optional):
I acknowledge and accept the liability notice stated above this electronic form for all named participants/liaisons: *
A copy of your responses will be emailed to the address you provided.
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