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VENDOR BOOTH REGISTRATION FORM

Media Consent & Program Participation Notice

By registering for and participating in the Back to School Feed A Family And Backpack Giveaway through Jorgia’s Impact Foundation, participants acknowledge and agree that photographs, video recordings, and/or audio recordings may be taken during event or any related event activities.

These images and recordings may be used by Jorgia’s Impact Foundation for:

  • Program documentation
  • Marketing and promotional materials
  • Social media, website, newsletters, and fundraising efforts
  • Community awareness and impact reporting

Participation in theBack to School Feed A Family And Backpack Giveaway is contingent upon consent to be photographed and recorded. No personal medical details or sensitive information will be shared publicly.

Your participation helps us share the impact of this program and continue supporting autism families in our community.

(Please note that shirts will be available for pickup during the event only)!!

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Will You Be Bring (Choose all that apply):
Are you providing/offering Autism related resources/information for families needing support?
How did you hear about Us?
Consent to receive emails and text from Jorgia's Impact Foundation:
Variant Variant total Quantity Price Variant total
Vendor Booth Registration Form
Resourse/Informational VendorBSFFRESINFOVEN
Resourse/Informational VendorBSFFRESINFOVEN
$25.00/ea		 $0.00
$25.00/ea $0.00
Vendor Booth Registration Form
Business VendorBSFFBUSVEN
Business VendorBSFFBUSVEN
$50.00/ea		 $0.00
$50.00/ea $0.00
Vendor Booth Registration Form
Food VendorBSFFFODVEN
Food VendorBSFFFODVEN
$25.00/ea		 $0.00
$25.00/ea $0.00
Vendor Booth Registration Form
Merchandise VendorBSFFMERCVEN
Merchandise VendorBSFFMERCVEN
$50.00/ea		 $0.00
$50.00/ea $0.00
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