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Women’s Weekend Vendor Registration
Thank you for bringing your business to our Women's Weekend Getaway! The following form will register you as a vendor for the event. Before you continue filling out this form, please make sure you are available at least one day over the Sept. 23- 25, 2022 Weekend. We look forward to another great weekend!
Step 1 of 2
50%
Contact Information
Organization Name
*
Type of Organization
Description
*
Tell us a little bit about what yourself! We will use this information to decide whether Women's Weekend is the right fit for you and also for promotional materials sent out to participants.
Volunteer Name
*
First
Last
Mailing Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone
*
Alternative Phone
Email
*
Enter Email
Confirm Email
Website
Please add a website, if you would like us to include a link to it in our class packet
Shirt Size (Women's Cut)
*
I do not want a t-shirt
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2XL
Are you planning on joinining us Friday evening or all weekend?
*
Our Vendor Exhibit runs from 5:30pm to 9:00pm on Friday evening. You also have the opportunity to leave your table set-up all weekend.
$50 Friday Night ONLY
$100 Full Weekend
Do you need overnight accommodations?
*
The cost is $15/night.
No
Yes - Friday Night Only
Yes - Saturday Night Only
Yes - BOTH Nights
Additional Comments/Requests/Arrangements
Dietary Restrictions
*
None
Vegetarian
Vegan
No Gluten
No Dairy
Other
Other Dietary Restrictions
Please describe any additional dietary restrictions
WAIVER AGREEMENT
Waiver Agreement
*
PLEASE READ CAREFULLY BEFORE ACCEPTING AND AGREEING. THIS ACCEPTANCE AND AGREEMENT IS A RELEASE OF LIABILITY AND THE WAIVER OF CERTAIN LEGAL RIGHTS. The undersigned person (volunteer) hereby acknowledges intent to work for the Takodah YMCA property. The Volunteer freely and unconditionally waives and releases Takodah YMCA and any personal representatives for any and all loss or damage and any resulting claims of demands due to injury to the person or property or death of the Volunteer, including those caused by alleged negligence of Takodah YMCA. The Volunteer further agrees to defend, indemnify and hold Takodah YMCA and staff harmless from and against any and all liabilities, demands, claims, damages, suits, judgments and decrees, and court awards including costs, expenses and attorneys' fees, on account of injuries to or death of any person or persons or damage to any property arising out of or related to the Volunteer's intentional or negligent acts, errors or omissions for the duration of the Volunteer's participation. The Volunteer understands that he is not an employee of the Takodah YMCA and agrees that he will not receive any compensation or benefit nor be eligible for any coverage under the New Hampshire Workers Compensation Laws. Please indicate that you understand and agree this statement below.
Yes - I understand and agree
No - I do not agree
Photo/Media Release
*
I authorize the reproduction, publication and use by the Takodah YMCA for promotional, marketing, public relations, or any other purpose, any pictures or likeness of me taken during the YMCA Camp Takodah Programs.
Yes - I understand and agree
No - I do not agree
Electronic Signature
*
I HAVE CAREFULLY READ THE FOREGOING WAIVER, UNDERSTAND ITS CONTENTS, AND AM AWARE THAT I AM RELEASING CERTAIN LEGAL RIGHTS. I ACKNOWLEDGE THAT I AM SOLELY RESPONSIBLE FOR ANY INJURIES INCURRED WHILE VOLUNTEERING FOR THE TAKODAH YMCA.
First
Last
Date
*
Date Format: MM slash DD slash YYYY
Thank you!