Project Connect September 24th, 2026 Avondale Baptist
Project Connect September 24th, 2026 Avondale Baptist
Name of representative day of event (who will be contact person at event)
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Name of representative day of event (who will be contact person at event)
First
First
Last
Last
Name of person filling out this form (this should be the main contact from your organization who authorizes all tabling and who will be the main point of contact for event manager to communicate with/inform of changes, etc.)
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Name of person filling out this form (this should be the main contact from your organization who authorizes all tabling and who will be the main point of contact for event manager to communicate with/inform of changes, etc.)
First
First
Last
Last
Email
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Organization Contact Phone
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Organization name (note, if there is more than one sector of your organization you will be asked to table together and list the services all sectors provide)
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Services my organization will provide – note, these must be services you can provide, not refer guest to:
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Health and Wellness
Spiritual Support
Peer Support
Animal Care (Pet food, supplies, and Services)
Showers
Haircuts
Vital Document Re-unification
SNAP/Medicaid
Reproductive Hygiene Supplies
Housing
Shelter Services
Employment Services
LGBTQIA+ Services
Community Services (for local city organizations)
Mental/Behavioral Health Services
Case Management
Basic Needs
Cell Phone Service
Substance Use Disorder Assistance
Child Care
Trafficking Assistance
HVC Testing/Prevention
Other
Other
My organization has a mobile unit that will need to be accessed in the parking lot
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Yes
No
My organization will need access to electricity
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Yes
No
My organization will need internet access (please inform event manager when you arrive that you need the wifi information)
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Yes
No
Number of tables my organization will need:
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Choose amount below
0
1
2
3
4
5
6
Number of staff we expect to have the day of the event (please know this number helps us plan for chairs and food)
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I agree my staff will stay until 3 pm and check out with the event manager providing requested data regarding services we provided during the event.
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Yes, I agree
No, I do not agree
Submit
If you are human, leave this field blank.