Senator Ward's Senior Expo Sponsor Registration

Thursday, October 30, 2025 | 10 a.m. – 1 p.m.
Hempfield Township Athletic Complex
220 Forbes Trail Rd.
Greensburg, PA 15601

Registration deadline: August 20th

Senior Expo Sponsor Registration Form

Organization Name(Required)
Are you also planning to exhibit?

Yes

No
Primary Contact Email (This email is used only to communicate with attending exhibitors and is not published.)(Required)
Enter Email Confirm Email

Organization Mailing Address (Please list as you wish to appear in program distributed to Senior Expo attendees)(Required)
Street Address Address Line 2 City State ZIP Code

Organization Phone (Please list as you wish to appear in program distributed to Senior Expo attendees)(Required)
(For Program Booklet)
Organization Description (Please provide a short description for inclusion within the program distributed to Senior Expo attendees.)(Required)
Name of person(s) who will be attending:(Required)
Name 1 Name 2 Name 3

We will require ___ parking placards for exhibitor vehicles (1, 2, 3, 4). Parking placards will be emailed to registered exhibitors no later than one week prior to the event.(Required)
Please enter a number from 1 to 4.
Exhibitor Space
The information below will help us determine your needs for your space.
All organizations will be provided with an 8’ table. In a few cases, additional tables may be available. If you would like to be considered for an additional table, please indicate the total number you require here: _______ tables.
If you require more than the two chairs provided, how many TOTAL chairs do you need?(Required)
Please tell us how many chairs you need for your exhibit, 2 are provided, if you need 4, please tell us 4.
Check One - I/We will require an electrical outlet.(Required)

Yes

No
I/We will be providing a healthcare screening.

Yes

No
If Yes, describe health screening.
Phone
This field is for validation purposes and should be left unchanged.