Organization Info

Organization Name Primary Contact (Name) Email Phone Website/Social (optional) Address (City, State)

About Your Youth Focus

Briefly describe your youth-focused mission/programs

Event Details

What will you present at your table? (e.g., resources, activities) Do you need power or special setup? (Yes/No - describe) No Yes Number of staff attending (approx.)

Agreement (check all)

We will provide positive, youth-appropriate materials. We will comply with event rules and setup/tear-down times. We will not sell items; information/resources only (unless approved).

Signature

Signature Clear Signature Printed Name Date