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HSD Direct Service Provider Registration

Fields marked with an asterisk (*) are required.

The name and phone number of the main contact who will attend the event.

Due to limited capacity, please estimate the number of additional staff needed if names are not yet confirmed.

A Direct Service is defined as a service provided at the event.

Check all services you wish to provide.

A Direct Service is defined as a service you will provide at the event. If you check 'Other' or 'Mobile Unit', explain in the box below.

We will contact you to discuss.

Will you offer give-a-way items?

Only small items may be given out at your registration table. ie: gift cards, notepad/pen, water bottle, travel size health/wellness kits or handheld items.

Note: Guests will receive socks/hygiene kits/meals at the Homeless Stand Down. These items may not be offered from your table.

Set Up Day

By checking this box, it is understood that all agencies are required to set up on Friday, April 17, 2026.

Clear

Your presence at the Homeless Stand Down is vital for our guests. Please note that failing to attend, without advance notice, may affect your participation in future events.

 

 

 

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