Application deadline has passed
Custom Application
KC Pride Wellness Tent Provider
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Deadline: May 08, 2024 11:59 pm (GMT-05:00) Central Time (US & Canada)
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Date: Jun 07, 2024 5:00 pm - Jun 09, 2024 6:00 pm (CDT)
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Free
About the event
About the application
Terms & Conditions
Questions on the application
User information
- First name
- Last name
- Gender
- Birthday
- Address
Business information
- Business name
- Legal business name
- Contact name
- Address
- Phone
- Website (Optional)
- Logo (Optional)
Additional information
- Do you have the current Missouri license(s) required to provide your services in the Wellness Tent?
- Do you agree to bring your current Missouri license(s) to the Wellness tent and display it prominently while you are practicing?
- Do you agree to abide by all KCMO and Missouri rules and regulations as pertains to your area of service?
- Do you agree to provide your services to every area of the LGBTQ+ community and/or our allies without judgment or prejudice?
- Service Provider’s Name
- Legal Name (Name on Your Government-Issued ID)
- Name of all assistants (if applicable)
- Primary Contact Person Name
- Pronouns
- Street Address - 1
- Street Address - 2
- City
- State
- Zip Code
- Phone #
- Email Address
- What services do you want to provide in the Wellness Tent at Pride?
- Does the service provider(s) identify as LGBTQ+?
- Do you have any accessibility needs that you would like to share with us?
- Do you require any special equipment, accommodations and/or clearances? If yes, please provide a description and be as specific as possible.
- Years of experience in your area of practice?
- Name of business?
- Where do you currently practice? Please provide physical address(es) and website(s) if applicable.
- Are you interested in giving a Wellness-related demonstration or presentation in the Education tent? No/Yes - if yes, please describe the type of presentation you would be interested in providing.
- How many tables and chairs will you need to comfortably provide your services?
- If your services need specific items, will you be able to provide them?
- What times/dates are you interested in providing services? (Select as many as applicable)
- I agree to the terms and conditions detailed above to be considered for providing services for the 2024 Kansas City Pride Community Alliance PrideFest in the Wellness Tent.
KC Pride Wellness Tent Provider
KC PrideFest 2024
Application deadline has passed