Bubblesburgh Partner Sign-up
After you fill out this order request, we will contact you within 72 hours to confirm and verify availability.  If you have any questions please contact Jamie at 412-334-8631 or j.christian@ltbsc.org

Email *
Thank you for your interest in participating in Bubblesburgh! How would you like to share your time and talents with us? Please select one or all if you like! *
Required
Time windows ( please select minimum of one window, multiple times or all day may also be selected.  Specific time slots will be assigned by mid-late July )
12:00 pm- 2:00 pm (12:00 pm -1:00 pm volunteers and partner set up only)
1:00 pm- 3:00 pm
2:00 pm- 4:00 pm
3:00 pm- 5:00pm
4:00 pm-6:00 pm
5:00 pm-7:00 pm (6:00 pm -7:00 pm volunteers and partner clean up only)
N/A
Speak to me! (Informative, storytelling, slam poetry ect.)
Host a walk up activity (craft, planting, cooking, painting and other theraputic/rehabilatatve)
Provide a demonstration/ host mini workshop
Entertain us! (sing, dance, act ect.)
Volunteer! (set up, tear down, guide, general ect.)
All of the above!
Fill bellies (probono food / service donation)
Organizaton/ Business Name
Your name *
Phone number *
E-mail *
Preferred contact method *
Required
What is your role/ job title within the organizaton you represent? *
May we use your organization/entity name and logo on the Bubblesburgh promotional material? *
May we use your photo/photos of anyone attending from you organization/entity on the Bubblesburgh promotional materials/post event media? *
Will all parties over the age of 14 accompaning your organization who will have direct, unsupervised contact with children have ACT 153 Clearences? (Organizaton contact must be present at all times and have ACT 153 Clearences, please email to j.christian@ltbsc.org) *
Does anyone from your organization require ADA accomodation? Please specify if you answered yes. *
Is your organization a 501c3? Please provide EIN if you answered yes. *
Would your organization like to have the Bubblesburgh Bubble at your next event? Please include date, time and location information if applicable. *
If you selected "Fill Bellies" will your organization/business have a servesafe manager onsite during preparation and delivery? ( Please provide name(s)) *
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