Young Minds Matter: Stop, Look and Listen
Transition Age Youth Resource Fair
Tuesday, June 9, 2015 - 5:30-8:30 p.m.
Table Reservation Form

Please complete the following form to reserve a table for the 2015 Young Minds Matter Resource Fair. The event will be held the evening of Tuesday, June 9 at the Bayou Event Center.

Question Title

* 1. Agency/Company information to be provided to participants:

Agency/Company Name:

Mailing Address:

City:

State:

Zip:

Website URL:

Phone:

Fax:

E-mail address:

Question Title

* 2. Name of Agency/Company Representative(s) staffing event:

1)

2)

3)

Question Title

* 3. Exhibit Description for website: You will have the opportunity to let participants know more about your organization. Please share a brief description (up to 150 words) of your agency/company and the information you plan to share with participants. This information must be received no later than Tuesday, May 5, 2015.

Question Title

* 4. Number of tables needed:

1

2

3

Question Title

* 5. Does your exhibit require electricity?

Yes

No

Question Title

* 6. Do you need access to the internet?

Yes

No

Question Title

* 7. June 10th Conference: As an exhibitor, we are inviting you to participate in our full day training the following day, June 10th to learn more about engaging youth and families in your work. Will you be attending the Young Minds Matter Conference on Wednesday, June 10? If yes, you must register at THIS LINK (OPENS IN APRIL).

Yes

No

Question Title

* 8. Door Prize Information: Donations for door prizes are being accepted. All donors will be recognized as supporters of this event in the conference program material. If you are interested in donating a door prize, please send an email to Vicky Coffee-Fletcher. Please check yes or no to indicate that you will be donating a door prize.

Yes

No