Provider Registration

Disability Service Provider Registration

Last Updated 11/18/2019

TUESDAY, APRIL 21ST, 2020 | 10AM - 3PM | ALAMO DOME PARKING LOT C | 100 MONTANA ST., 78203 | ADVANCED RESERVATIONS REQUIRED

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Advance reservations required. Reservation includes complimentary admission, hot dog lunch for students, and unlimited rides for students and their teachers/caregivers. PLEASE NOTE that the Assumption of Risk Agreement is required for registration. You can download with the button to the left or through the link on the registration form below.

Service Providers: If you operate a day program, group home or provide services to individuals with disabilities, please click on the "Service Provider Registration" button to learn how to participate in Fiesta Especial this year. Free admission with advance reservations. The DEADLINE for providers to register to attend is Friday, March 27th at 5:00pm. No Exceptions will be made for late entries this year.

Guests may bring sack lunches. Ice chests and coolers may be checked in at the eating area. Food and carnival operated games are available at current retail rates.

Download information and forms with
the buttons below.

SPONSOR A CHILD $45

assumption of risk agreement

Shoebox parade INFO

event layout map

2020 PROVIDER REGISTRATION FORM

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CONTACT INFORMATION

* Indicates required field

Organization Name: *

City District (San Antonio ONLY) *

Address: *

City *

Zip *

Main Contact *

First

Last

Job Title *

Evening Phone *

Day Phone *

Email *

ATTENDEE INFORMATION

#Clients/Participants *

#Staff *

#Chaperone/Volunteers *

Please indicate the age ranges of the clients/participants attending. The sum of the 3 boxes below should be equal to the total number of clients/participants noted above.

#Clients (Age 17-34) *

#Clients (Ages 35-54) *

#Clients (Ages 55+) *

TRANSPORTATION INFORMATION

#Buses *

Will you be using an accessible life during drop off this year? *

#Cars *

Driver's Name *

First

Last

Driver's Email *

PROGRAM SURVEY

How many times has your org attended Fiesta Especial? *

Have you or do you plan to use the educational materials available on this website? *

What types of educational and life skill development materials would you like to see made available for your experience with Fiesta Especial? *

What are your educational or life skill development goals for your class at Fiesta Especial Celebration Day this year? (If none, mark N/A.) *

What is the likelihood your organizatoin would attend if admission was $2/person? *

SHOEBOX PARADE

The shoebox parade will begin at 10:30am. Please arrive to line-up by 10:15am. By notifying us of your intention to participate with the question on the right, you will receive information about line-up and logistics will be sent out one week prior to the event. Top Floats in each category will receive trophies. Everyone will receive an honorable mention ribbon.

Shoebox Parade Participation *

We will participate We will not participate

Comments/Questions: *

ASSUMPTION OF RISK REQUIREMENT:

CLICK HERE to download the Wade Shows Assumption of Risk Agreement, complete it and attach it with the upload option below.

If your group is not planning to ride the rides or needs an exception on submitting your agreement along with your registration, please upload a letter explaining your situation. Thank you!

Upload File *

Max file size: 20MB

I agree to receiving marketing and promotional materials *

YOUR REGISTRATION IS NOT COMPLETE UNTIL YOU HAVE RECEIVED A CONFIRMATION EMAIL FROM OUR TEAM.

Fax: 866-461-5481 | email: [email protected] | P.O. Box 28243, San Antonio, Texas 78228