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Not-for-Profit/Organization Application/Contract Form
Please print and mail application along with any applicable fees to the address at bottom of form.
PRIDEFEST 2001: A LAMBDA SAFARI
Organization Registration Form
Name_______________________________________________________________
Address_____________________________________________________________
___________________________________________________________________
Phone ( )_____________ Email___________________________________________
Organizational Affiliation_________________________________________________
Type of Organization Non-Profit University Social
Professional Other_________________________
Will you need electricity at your booth? Yes No
A fee of $10.00 will be charged for booths needing electricity, payable in advance.Booth Registration Deadline is September 30, 2001
Waiver of Responsibility
I, __________________, an officer or other authorized representative of _____________, accept full responsibility for our involvement in Pridefest 2001: A Lambda Safari, sponsored by The Lambda Group, to be held at
The Lambda Center
1733 Florida Boulevard
Baton Rouge, LA 70802-3841.
I agree to hold harmless its officers, employees, or representatives for any and all civil and/or criminal liability, which may result from the operation of, or any attendant activities:
Signed: ___________________________ Date: ________________________
(Please Print Here)Signature of Agreement: ________________________________
The signature of the participant shown above indicated agreement with all requirements listed in the attached information sheet.
Received by: __________________________
Any Questions? Please contact via phone or email. (See below)
Pridefest 2001 – A Lambda Safari
1733 Florida Boulevard
Baton Rouge, LA 70802-3841
Phone: 225-346-0670
E-Mail: brpride2001@yahoo.com
Website URL: http://www.stonewallsociety.com/batonrougepride.htm
To be involved or for more information use the contact
button in the Events Menu.
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