April 16, 2018 | Youth Health Summit Exhibitor Registration & Contract
Add optional packages:
All Packages Include the Following Benefits
School/Program listing in summit program along with listing in the online exhibitor directory on www.vhwda.org
General Release & Terms
On behalf of myself, my administrators and other exhibit workers, I hereby release, acquit and forever discharge Virginia Health Workforce Development Authority from any cause of action, claims, demands or damages resulting from my participation in the 2018 VHWDA Health Youth Summit. I also release them from responsibility of lost, stolen or damaged property during the event. There will be no refunds for cancellations after April 1, 2018. I have read and agree to the full Terms and Conditions (attached).
Payment Schedule: Full payment is due by April 6, 2018.
Note: Booth location reservations are not guaranteed until this form has been received and the full payment has been made on a first come, first serve basis. Booth assignments will be confirmed with receipt of payment.
I agree to the full terms & conditions and package price.
E-mail: firstname.lastname@example.org Mail: Virginia Health Workforce Development Authority | 3831 Westerre Parkway, Ste. 2 | Henrico, VA 23233 Questions? Contact Keisha Smith, Executive Director, at 804.562.4928 or email@example.com
Click here to view terms and conditions.
Thank you for submitting your form.
Blue Ridge Region AHEC – Shenandoah Valley
Capital Region AHEC – Richmond Metro and surrounding areas
Eastern Virginia Region AHEC – Southeast Virginia and Peninsula
Northern Virginia Region AHEC – Northern Virginia
Rappahannock Region AHEC – Northern Neck, Fredericksburg, and Middle Peninsula
South Central Region AHEC – Lynchburg, Danville, and surrounding area
Southside Region AHEC – South of Richmond
Southwest Virginia Region AHEC – Roanoke Valley and West