AS GLBSGVOC Exhibitor App. 2016 Autism Acceptance Walk and Resource Fair
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This document provides information about an Autism Acceptance Walk and Resource Fair event to be held on April 16, 2016 at Whittier High School. It includes an application for exhibitor information tables, which will be assigned on a first-come, first-served basis. The application requests information about participating organizations and must be returned by March 31. Space is limited and applicants will be notified if accepted. The document also includes a hold harmless agreement and contact information for questions. Donations are requested to support the nonprofit Autism Society hosting the event.
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AS GLBSGVOC Exhibitor App. 2016 Autism Acceptance Walk and Resource Fair
- 1. AUTISM ACCEPTANCE WALK & RESOURCE FAIR APRIL 16, 2016 12pm-4pm EXHIBITOR APPLICATION- INFORMATION TABLE Whittier High School, 12417 Philadelphia St, Whittier, CA 90601 Exhibitor Information Tables are assigned on a first-come/first-served basis. Please complete and return this application by March 31st . Name/Organization: Address: City/State, Zip Code: Telephone #: FAX #: Contact Person: Tel: #: Business E-Mail Address: Brief Description of Organization: SPACE IS LIMITED - YOU WILL BE NOTIFIED IF YOUR APPLICATION IS ACCEPTED Each exhibitor is provided with a table & two chairs. Exhibitor must supply their own canopy. In order to reserve an Autism Service Provider exhibitor table, we are asking for a donation of $100. Please make check payable to Autism Society GLB/SGV/OC. Mail application and donation to: Autism Society GLB/SGV/OCs Empowerment Center 8635 Greenleaf Ave., Unit B Whittier, CA 90602 DONATIONS Autism Society GLB/SGV/OC is a volunteer run 501 c3 organization, established in 1971. Due to the generous support from the community we are able to continue to provide free events and services. If you are able to assist us with a donation for the Autism Acceptance Walk and Resource Fair, please check one of the boxes below. All sponsors will be recognized in the event program and on social media. Craft Booth Sponsors will also have their logo displayed at their sponsored booth. Donate: Sponsor: ( ) Craft Booth Sponsor- $200 / 2 needed Monetary $_______________ ( ) Bottled Water- $150 / 2 needed ( ) Sensory Bin- $75 / 4 needed ( ) Opportunity Drawing Item
- 2. Autism Society Greater Long Beach/San Gabriel Valley/Orange County & Whittier High School HOLD HARMLESS/INDEMNIFICATION AGREEMENT The undersigned table applicant agrees to and shall indemnify, defend and hold harmless Autism Society Greater Long Beach/San Gabriel Valley/Orange County & Whittier High School, its agents, officers, elected and appointed officials, employees and volunteers against any legal proceeding in law or equity, and further shall indemnify, defend, and hold harmless Autism Society Greater Long Beach/San Gabriel Valley/Orange County & Whittier High School, its agents, officers, elected and appointed officials, employees and volunteers from and against any and all claims, liabilities, demands, suits, judgments, expenses, costs, and other legal expenses of every kind to which Autism Society Greater Long Beach/San Gabriel Valley/Orange County & Whittier High School may be subject by reason of any act or omission, whether intentional or negligent, or from strict liability, arising from the conduct of any participant, invitee, attendee, sponsor or any third person who is or is not an invitee, attendee, participant, or sponsor of the event. Event: Autism Acceptance Walk & Resource Fair Date (s) of Event: Saturday, April 16, 2016 Agency: Name/Title (please print) Signature Date Name/Title (Please print Signature Date Name/Title (Please print) Signature Date For questions contact: Regina Moreno at 562-237-1520 or regina@greaterlongbeach-asa.org.