BOOTH REQUEST FORM
Breastfeeding Awareness Walk &
Workplace Awards 2011
Sunday August 7,
The Merced County Breastfeeding Coalition is dedicated to improving the well-being of the
community through improving the health of families. In support of this goal, several groups have
joined together to host a Breastfeeding Awareness Walk & Workplace Awards on August 7,
2011, at Courthouse Park. Our walk is one of many similar events planned across California on
this day and will feature awards to the City of Merced and Merced County Public Health as well
as children’s activities from Merced City Parks and Recreation.
We are seeking groups and agencies to have informational, educational, or sales booths and in
lieu of a fee to offer a kids craft or activity; please no candy. If you are interested in having a
booth at Courthouse Park on Sunday, August 7, 2011, please fill out this form and email or fax it
to: Emily Lindsey at Emily@beforeandafterbaby.org or 209-722-8064. If you are selling items
you must obtain a permit from Merced County for day use.
City, State, Zip:
Phone: ( ) Fax: ( ) Email:
BOOTH SET UP
(1) Set up at 9:45-10:45
(2) Booth take down will begin at end of event.
1. Number of people staffing booth:
2. Type of booth display table-top or free-standing
3. Type of material presenting-indicate if literature only:
4. Type of activity or demonstration:
WE LOOK FORWARD TO SEEING YOU AT THE WALK!