Organization / Business Phone *

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Name of Contact *

First Name

Last Name

Contact Phone *

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please check entry category: *

Activity Table

Informational Table

Both (Activity AND Informational)

PLEASE NOTE: Tables WILL be provided. However, your organization is expected to bring all other materials and volunteers as necessary. Please indicate if you need a full table or half of a table. Tables are 8 ft. by 2.5 ft. *

Half

Full

ALBION’S BIG READ RESERVES THE RIGHT TO DECLINE REGISTRANTS, SHOULD THE ORGANIZATION’S PRESENCE BE AT ODDS WITH THE GOAL OF VALUING AND STRENGTHENING OUR COMMUNITY. In consideration of inclusion as a participant in Albion’s 2023 Big Read Kick-Off Event, receipt of which is hereby acknowledged, the participant agrees to indemnify and hold harmless the City of Albion, Albion College, Albion’s Big Read, its officials, employees, members & volunteers from and against any and all liability, loss, costs, demand, claims, fines, debts or judgments that participant’s members and/or volunteers may sustain or incur as a result of or arising from participant’s involvement in Albion’s Big Read Kick-Off. By signing this form, I agree that I have read and understood all the foregoing information. I am aware of the risks involved in the event. *

Electronic Signature *

First Name

Last Name