Wellness Fair Participation Form

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UAM Wellness Fair
Wednesday, March 18, 2026
10:00AM - 1:00PM

Thank you for agreeing to participate in our annual Wellness Fair! Please submit this form prior to noon on February 28th.

YOU WILL RECEIVE A CONFIRMATION EMAIL DETAILING SPECIFIC WELLNESS FAIR SET-UP INFORMATION AND THEME!

PARTICIPANT INFORMATION FORM

Company Name:

Contact Name:

Office Phone:

Cell Phone:

Email Address:

Address:

City:

State:

Zip:

Check here if another person will be participating in the fair.

BRIEFLY DESCRIBE INFORMATION, SERVICES, SCREENINGS, ETC. THAT WILL BE PROVIDED AT YOUR TABLE:

ACTIVITY/GAME: Previous participants have found that having an interactive activity or game increases the number of visitors to their table. Please indicate additional activity/game or give-away you will provide:

PHYSICAL ARRANGEMENTS

Number of tables:

Number of chairs:

Number of electrical outlets:

Do you need Wi-Fi access?

List any special needs:

NOTE: Please bring an extension cord, if needed, as the availability of electrical outlets is limited.

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