VENDOR REGISTRATION AND WAIVER 
EVENT DETAILS:
DATE: October 1, 2022
SETUP: 5:30pm
EVENT TIME: 6:30pm
LOCATION: 250 Assay St - Houston, Texas 77044
Sign in to Google to save your progress. Learn more
Email *
I understand that this Waiver discharges the Organization from any liability or claim that I, the participant, may have against the Organization with respect to bodily injury, personal injury, illness, death, or property damage that may result from my participation on the Organization’s work site. I also fully understand that the Organization does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health or disability insurance, in the event of injury, illness, death or property damage.                                                                                                                                                                                                   *
PHOTO/VIDEO DISCLAIMER
By registering for and attending any event, you agree that your image may be used at any time, without
further notification, for printed materials, web sites, social media and other marketing purposes.
*
CONTACT NAME: *
CONTACT# *
ORGANIZATION NAME: *
HOW MANY PEOPLE WITH YOUR GROUP: *
List the activities your team will be presenting *
Thank you!  *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy