The Highway Healing Journey
June 7th-14th
Highway Healing Walk Village Invite Letter
Would you like to sponsor a participant in the Healing Journey?
Then Donate on the following form!
If you know the participant you would like to sponsor, write their name in the comment section below the following payment section.
Begin registration below!
Let us know who you are!
Share your contact info
Here is the info you should know about the Healing Journey
Read the terms and submit the form
Name
Participant name
Parent/Guardian Name
Address
Street Address
City
State
Country
Contact information
Participant Phone Number
Parent/Guardian Phone Number
Participant Email
Parent/Guardian Email
Emergency Contact
Emergency Contact Name
Emergency Contact Phone Number
Emergency Contact Relationship to Participant
Liability Waiver
I am aware that participation in The Highway Healing Journey has some inherent risks and injury that can occur. On rare occasions, these injuries can be serious. In consideration of my child being allowed to participate in the My Grandma’s House event, I, the parent/guardian, assume the risk of all injury and agree not to hold My Grandma’s House, the directors, staff, coordinators, volunteers liable for any harm or damage caused to my child resulting from his/her participation in any My Grandma’s House events or activities. By signing this waiver, I also authorize the use of pictures of the above-named participant to be posted on My Grandma’s House website and social media outlets pertaining to the event.
My Grandma’s House AK has my permission to use my or my child’s photograph and video publically to promote its cause and message of healing. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
Do you Agree to the above terms
To confirm registration, have the parent/guardian of the participating child contact Cynthia Erickson via phone (907-750-9123) or email (cynthia@MyGrandmasHouseAK.org).
Want to be a vendor?
Apply below!
Apply to be a Vendor
Who is the Contact Person?
What will you need for your booth?
Business Information
Business Name
Business Phone Number
Business Email
Business Website
Contact Person Info
Contact Person Name
Contact Person Phone Number
Contact Person email
Vendor Details
What will you have for your booth?
I, the undersigned, as representative of self or business/organization, agrees to indemnify, defend, and hold harmless, My Grandmas House, sponsors of The Healing Journey, their directors, officers; and all respective liability insurance carriers against any and all claims/damages incurred by an act of themselves or third parties from any cost that may accrue from such loss. When insurance, licenses, or DEC permits/fees/guidelines are required, it is the sole responsibility of the vendor. If the vendor is a minor, a parent or guardian must also sign. Also note, My Grandmas House reserves the right to accept or decline the application of any organization. After you submit the vendor application, we will contact you with further instructions!