Application For Free Speech Area

This application is not a proposal or guarantee of space. All questions must be answered completely before consideration for space can be given. Spaces are for Non-profit organizations only. All spaces are 10’ x 10’ and located outdoors only.

Spaces fee for on-grounds location: $100 per day/$500 on Senior Day (October 10).

Free Speech spaces are available for no more than 2 days at a rate of $100 per day.

Organization Information

Organization Name

Non-Profit Number

Address Line 1

Address Line 2

City

State

Postal Code

Phone Number

Fax Number

First Name

Last Name

Email Address

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Event Information

Preferred Date

Additional Date (if necessary)

How many people do you plan on having work your booth?

(each person must work 3 hours to get a ticket)

Explain the activity that will be taking place in your booth:

Please be specific. We'll need pictures/ brochures

ALL EXHIBITORS ARE REQUIRED TO PROVIDE PROOF OF LIABILITY INSURANCE AND PROOF OF NON PROFIT STATUS PRIOR TO SCHEDULING A DATE/TIME.

Will you be supplying your own insurance?

Yes
No

Yes

If not, would you like to purchase special event insurance from the Fair for $22.00?

Yes
No

Yes

STATEMENT: "By submitting this form, I acknowledge that I have read the 21st DAA Free Speech Zone Guidelines and the organization listed above hereby accepts and agrees to abide by all rules and regulations governing the use of our assigned FREE SPEECH ZONE and agrees to inform all booth representatives of these conditions."

One copy of these conditions for use shall be kept at your booth at all times the booth is staffed.

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