Annual Recognition

Ceremony Registration

Full Name:

Contact Number:

Email address:

Address: (Include City, State, Zip & County)

How many people will be attending? (Including children)

I agree in order to reserve a seat, it costs $75 per person including children and the fee is non-refundable.

I agree & understand that each seat comes with 1 Raffle Ticket and if I want to buy more Raffle Tickets, I may do so at the event.

Would you like to be a Guest Speaker to share any possitive stories you have about Block Calls Now!? If yes, explain in detail what you will share: (If no, put N/A)

I agree that if I choose to be a Guest Speaker, I will not be charged nor receive any compensation for speaking. I agree to keep my speech between a minimum of 10 minutes and a maximum of 30 minutes.

Would you like to setup a Gaming Booth so Team Members can play? If yes, 1. List the name of the game, 2. How much you will charge to play per person, 3. If the winner will receive a prize or just bragging rights, 4. How much space you need & 5. Would you need any electrical outlets. (If no, put N/A)

I agree that if I choose to setup a Gaming Booth, 1. I'm responsible for the full setup, 2. There's no charge to me, 3. I'm not able to charge more than $5 per person to play my game, 4. I keep all the profits & 5. If I'm offering a prize for each winner, I am responsible to provide the prizes to each winner.

I agree to not bring any outside food or drinks as there will be Food Vendors inside and I will purchase my food from the inside.

I agree that after the completion of this application, I will be re-directed to the site to pay $75 per person.

Additional Comments:

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Annual Recognition Ceremony – Registration

Annual Recognition

Ceremony Registration

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