Latino Connection Events

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General

Event Name *

Activation Type *

Event Address *

City *

State *

Zip *

Start Date and Time *

End Date and Time *

How many hours before the event would you like the team to arrive?

Hrs

Company

Business Line *

Zone

Name *

Phone Number *

Email *

Website

Address 1 *

Address 2

City *

State *

Zip *

Cost Center *

Department to Invoice

Contact

First Contact

	Person	Title	Email	Phone Number
1
1

Add Contact

Venue Contacts

	Person	Title	Email	Phone Number
1
1

Add Venue Contact

Vendors

	Vendor	Email	Phone Number
1

Add Vendor

Promotional Items

We will not be providing custom promotional items unless specifically requested. We are more than happy to assist in the creation of custom promotional items. Please speak to the designated project manager. Please choose the promotional items you'd like at your event.

	Item	Authorized
1

Add item

Promotional Items

We will not be providing custom promotional items unless specifically requested. We are more than happy to assist in the creation of custom promotional items. Please speak to the designated project manager.

	Item	Authorized
1

Add Item

Experiences

Base Package

Comes with Nintendo Wii/Switch, 3 outdoor games, 1 beverage, 3 Brand Ambassadors, 1 Driver, BMI machine

Select one beverage option

Smoothies
Hot Tea/Cider
Hot Cocoa

Select three activities option

Extra Experiences

Management

Status

Representative

Expectations

Goals

Goals that need to be measured

Goals

Goals that need to be measured

Attendance

Expected event attendance by the client

Additional Information

Is BMI Allowed at this event?

YesNo

Will the wheelchair lift be used?

YesNo

Are we providing translation and interpretation services?

YesNo

Is bilingual staff needed?

YesNo

Do you have marketing needs?

Digital Assets and/or Printed Collateral

YesNo

Do you need event promotion?

Social Media, Printed Flyer Distributions and/or Digital Ad Display Advertising

YesNo

Do you need Latino Connection to provide screenings?

Blood Pressure, Glucose, A1C, Bone Density, HIV/AIDS, Lead Care, Dental, Child Well Visits and/or Vision

YesNo

Additional request for the event

Any Additional Vendors/ Event Management Needs/ Additional Vehicles

Event name:
Activation Type:
Date & Time:
Event Address: