AMPed Fest Community Partner Application

Space is limited for Community Partner tents. There is no fee as a Community Partner. Organizations that qualify for space will be notified by an AMPed Fest member as soon as possible. All materials for Community Partners will need to be provided by the community partner. AMPed Fest will not provide any materials.

  • Please enter your first name.
  • Please enter the applicant's name.
  • Please enter your business' address.
  • Please enter your business' city.
  • Please enter your business' state.
  • Please enter your business' zip code.
  • Please enter your business' website address.
  • This isn't a valid phone number.
    Please enter your phone number.
  • This isn't a valid phone number.
    Please enter your phone number.
  • This isn't a valid email address.
    Please enter your email address.
  • Please enter your mission.
  • Let us know how your organization will benefit AMPed Fest.
  • I hereby acknowledge that eligibility represents a full understanding of the non-compete clause and that neither I nor the company I represent will encroach on Touro Infirmary’s policies. AMPed Fest is a community event and no vendor or sponsor, aside from Touro Infirmary, shall engage in any practices to entice AMPed Fest visitors to their business or practice.