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Health Fair Vendor Form

  1. Health Fair Vendor Registration Form

    Application Deadline:  Friday, July 15, 2022- or until full


    All applications are subject to approval!

    LOCATION: Civic Center, 41000 Main Street, Temecula, CA 92590             

    DATE: Saturday, September  24, 2022

    TIME: 9:00 am - 2:00 pm

    REGISTRATION: $25.00/non-profit business (no exceptions) $50.00/for-profit business

    FEE INCLUDES: 1 canopy, 6’ table, 2 chairs, and 2 lunches

    For questions, please contact Human Services Division at (951) 694-6464

  2. Health Screening
  3. Vendors providing a health screening must provide proof of insurance (see attached sample).  The Certificate of Liability Insurance from your business must be submitted along with your Vendor Application & Fee(s).

  4. By selecting "I AGREE" below I realize every precaution is taken to eliminate any injuries or hazards and that a competent supervisor is present; however, in the event of injury, I hereby waive, release, and hold harmless from any liability for damages for personal injury including accidental death, as well as from claims for property damage which may arise in connection with the above-named activity, against the supervisor, the City of Temecula, its officers, employees, and volunteers.  I further permit the use of activity/event photography and or video for media promotion.

    In case of accident or other emergency, personnel of the Community Services Dept. and/or its agents are hereby authorized to secure medical care deemed necessary as results of accident or injury for the participant.  I further agree to pay any and all cost incurred as results of said treatment. 

  5. Vendor Applications are subject to approval.

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  7. This field is not part of the form submission.