First Name
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Last Name
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Organization
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Email
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Postal code
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Phone
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Website
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Address
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What services will your organization offer? (Health related such as: dental exams, blood pressure checks, covid testing, and others)
What activity will you be providing? (eg. face painting, hula hoop, clown, connect 4, etc.)
Will you be bringing your own tent, table and chairs? (If not, you may be sharing a tent with another vendor with 1 table and 1 chair per vendor)
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How many staff / volunteers are anticipated to attend?
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Upload logo here:
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