ORDER SONS OF ITALY IN AMERICA LODGE 2662 ARTS & CRAFTS VENDOR CONTRACT/RELEASE

Size: px
Start display at page:

Download "ORDER SONS OF ITALY IN AMERICA LODGE 2662 ARTS & CRAFTS VENDOR CONTRACT/RELEASE"

Transcription

1 ORDER SONS OF ITALY IN AMERICA LODGE 2662 ARTS & CRAFTS VENDOR CONTRACT/RELEASE DATE: JUNE 22 & 23, 2019 OCTOBER 5 & 6, 2019 LOCATION: THE MARKET COMMONS TIME: JUNE SATURDAY 11 AM 8 PM / SUNDAY 11 PM 7 PM OCTOBER - SATURDAY 11 AM 6 PM / SUNDAY 11 PM 6 PM (Please note this is the advertised time and patrons may enter up to one hour prior) REGISTRATION: Complete the attached registration form in full and mail (by check or credit card), or fax (credit card only), to OSIA Lodge 2662, 7957 Moss Creek Rd, Myrtle Beach, SC 29588, Attn: Vendor Coordinator. Deadline for either event is two weeks prior. NO REFUNDS CHECK-IN: Check-in begins on Friday, 3PM until 6PM and ends on Saturday 7AM 9AM. Vendor coordinator will be available on site during these times. Display booths must be set-up prior to 10 AM. Times are subject to change. Vendors are requested to follow the check-in procedure as follows: Check-in with volunteer coordinator and obtain your site number and location information. Each vendor will be allowed 15 minutes to off load his or her equipment CURBSIDE. Do not drive onto the festival grounds. Violators will be required to pay for repairs. Curbside parking is only allowed during check-in times and otherwise at your own risk. FREE parking is available on side streets, overflow lot (one block away), or the parking garage directly across the street. 1

2 FESTIVAL PROCEDURES, RULES AND REGULATIONS 1. Read and complete the attached WAIVER AND RELEASE OF LIABILITY. Include completed form with your registration. 2. You will be sent a confirmation letter upon receipt of your completed registration. All requests will be considered, but not guaranteed. We try not to duplicate similar products please offer full descriptions of product/service. 3. One week prior to the festival you will be sent, by , information regarding set-up, breakdown and parking. Booth assignment and festival layout will be given at check-in. 4. Vendors must have someone to oversee their booth at all times. Please inform the Vendor Coordinator if you might need assistance during the day. 5. Vendors may not move their booth site unless approved by the Vendor Coordinator. 6. Vendors are responsible for personal liability coverage and for collecting local taxes, if applicable. 7. Vendors are required to provide their own tents, tables, chairs, displays, etc. All equipment must be contained within the 10 boundary of your rented space. 8. Limited electric sites are available and contracted on a first come first served basis. Vendors are responsible to provide their own extension cords (50 suggested) and surge protectors, if necessary. 9. Vendors are expected to be in attendance both days, during festival hours, unless prior arrangements have been made. Any vendor who chooses otherwise will not be invited back for future events. We understand that weather may make changes necessary; however, Vendor Coordinator will inform participants of this decision. 2

3 ARTS & CRAFT VENDOR FEES LIST Per Event Both Events BASIC SINGLE: $ $220 BASIC DOUBLE: $ $390 ELECTRIC SINGLE: $ $230 ELECTRIC DOUBLE: $ $420 Credit Card Service Fee:$ per transaction 3 Free Charity Sites are available. However, a $50 deposit fee will be collected. The deposit will be returned provided you do not cancel. Make checks payable to: OSIA Lodge 2662 Mail payment and completed forms to: OSIA Myrtle Beach Lodge Moss Creek Road Myrtle Beach, SC Attn: Vendor Coordinator Fax credit information and forms to: Attn: Vendor Coordinator credit information and forms to: OSIALodge2662Vendors@Gmail.com NO REFUNDS 3

4 ARTS & CRAFTS VENDOR CONTRACT Enclosed is my check in the amount of for JUNE/OCT/BOTH BASIC SINGLE: $ BASIC DOUBLE: $ ELECTRIC SINGLE: $ ELECTRIC DOUBLE: $ Credit Card Service Fee: $5.00 per charge As a potential vendor of the OSIA Lodge 2662 Festival, I agree to maintain a high level of professionalism. I promise to conduct business in a way that is respectful to other vendors, attendees and OSIA volunteers. I have read and agree to abide to the PROCEDURES, RULES & REGULATIONS on page 2. NO REFUNDS CONTACT NAME: BUSINESS NAME: PRODUCT DESCRIPTION: ADDRESS: CITY: STATE: ZIP: DAYTIME PHONE: SIGNATURE: DATE: CREDIT CARD INFORMATION ($5.00 SERVICE FEE) Name on Card: Account Number: Expiration date: CV Code: Billing Zip: Authorized signature: 4

5 WAIVER AND RELEASE OF LIABILITY for THE MARKET COMMONS In consideration of permission from Sons of Italy Lodge 2662, a South Carolina Fraternal organization holding charity status, Myrtle Beach, (the "Host") to attend and participate in the Sons of Italy Lodge #2662 Italian Festival at Market Commons for the period of June 21, 2019 at 12PM and continue though June 24, 2019 at 11:59PM and/or October 4, 2019 at 12:00 p.m. and continue through October 7, 2019 at 11:59 p.m., ( the "Activity") the undersigned acknowledges and agrees as follows: 1. There is an inherent risk of injury from my presence at, and/or participation in, the Activity; and, 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS RELATED TO MY PRESENCE AT, AND/OR PARTICIPATION IN, THE ACTIVITY, BOTH THE RISKS KNOWN AND UNKNOWN, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES (as hereinafter defined), AND I ASSUME FULL RESPONSIBILITY FOR MY ATTENDANCE AND/OR PARTICIPATION IN THE ACTIVITY; and, 3. If I observe any unusual significant hazard during my presence at, or participation in, the Activity, I will remove myself from participation in such Activity and bring such to the attention of the nearest official or representative of the Host immediately; and, 4. I, for myself and on behalf of my heirs, assigns, personal representatives, family and next of kin, HEREBY WAIVE ANY CLAIMS AGAINST, RELEASE AND HOLD HARMLESS the Host, and its officers, directors, board members, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the Activity (hereinafter referred to as the Releasees ), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. 5. I, for myself and on behalf of my heirs, assigns, personal representatives, family and next of kin, hereby agree to indemnify and hold harmless the Releasees against any loss, costs, damages, liens, expenses (including attorneys fees), lawsuits, claims, procedures, actions or other liability claimed or imposed upon the Releasees for any property damage or loss, personal injury of any kind, illness and/or death, whether arising from the negligence of the Releasees or otherwise. I agree to defend and indemnity Releasees from any claim, cost, or expense arising from or relating to my acts or omissions or alleged acts or omissions while participating in the Activity. 6. The undersigned further expressly agrees that the foregoing waiver and assumption of risk agreement is intended to be as broad and inclusive as is permitted by the law of the State of South Carolina and that if any portion thereof is held invalid, it is expressly agreed that the remaining terms and conditions shall, notwithstanding, continue in full legal force and effect. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT AND FULLY UNDERSTAND ITS TERMS. I FURTHER UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND FULLY INTEND THIS AGREEMENT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY AS TO THE ABOVE RELEASEES TO THE GREATEST EXTENT ALLOWED BY LAW. I SIGN THIS AGREEMENT FREELY AND VOLUNTARILY. Participant s Signature Participant s name, printed Participant s Employer Date Note: a fully signed copy of this Agreement must be received before the Participant is allowed to take part in any activity. 5

6 IF PARTICIPANT IS UNDER THE AGE OF 18, A PARENT / GUARDIAN MUST COMPLETE THE FOLLOWING SECTION.. FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION) I hereby authorize the participation and attendance of my child in the Activity. I further certify that I, as parent/guardian with legal responsibilities for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, family and next of kin, I release and agree to indemnify the Releasees from any and liabilities incident to my minor child s involvement or participation in the Activity as provided above, EVEN IF ARISING FROM THE RELEASEE S NEGLIGENCE. I fully understand the terms and conditions of this Agreement as set forth above and expressly agree to be bound by the foregoing terms and conditions. Parent/Guardian Signature Parent s name, printed Date Note: a fully signed copy of this Agreement must be received before the Participant is allowed to take part in any activity. 6

7

8

Release of Liability PLEASE DO NOT CHANGE OR ALTER THE WORDING ON THIS WAIVER WITHOUT PRIOR APPROVAL FROM USROWING.

Release of Liability PLEASE DO NOT CHANGE OR ALTER THE WORDING ON THIS WAIVER WITHOUT PRIOR APPROVAL FROM USROWING. Release of Liability IN CONSIDERATION of being given the opportunity to participate in any USRowing activity, including scheduled, supervised club activities, and registered regattas, during the policy

More information

CITY KIDS DAY CAMP REGISTRATION FORM

CITY KIDS DAY CAMP REGISTRATION FORM RETURN CAMP ENTRY FORM WITH PAYMENT TO: M.C. PARKS 100 E. MICHIGAN BLVD. SUITE 2 MICHIGAN CITY, IN 46360 (219) 873-1506 www.michigancityparks.com CITY KIDS DAY CAMP REGISTRATION FORM 1. HOUSEHOLD INFORMATION

More information

Ella Sharp Park, 3225 Fourth Street, Jackson, MI 49203

Ella Sharp Park, 3225 Fourth Street, Jackson, MI 49203 July 18 and 19 2014 Arts/Crafts, Non-Profit Merchandise, Commercial Vendor Application Ella Sharp Park, 3225 Fourth Street, Jackson, MI 49203 Business Name Contact Person Address City State Zip Telephone

More information

NSU PREVIEW DAY. Wednesday, March 28, :00 a.m. 6:00 p.m.

NSU PREVIEW DAY. Wednesday, March 28, :00 a.m. 6:00 p.m. PREVIEW DAY NSU Multimedia Camp Wednesday, March 28, 2018 8:00 a.m. 6:00 p.m. Parent/Guardian Contact Information Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement Photo Release

More information

Vendor Application and Information

Vendor Application and Information Vendor Application and Information THIEVES MARKET VENDOR OBLIGATIONS Application Review Process Your application is subject to review. We will consider all vendor applications; however, ere are a limited

More information

Information about membership -

Information about membership - MEMBERSHIP INFORMATION 2018 We are excited about ST. CROIX JOAD and the opportunities that will present themselves to youth archers ages 8-20. ST. CROIX JOAD is one of only a handful USA ARCHERY JOAD clubs

More information

Ella Sharp Park, 3225 Fourth Street, Jackson, MI City State Zip. By May By July $ $75.00 $50.00 $ $ $150.

Ella Sharp Park, 3225 Fourth Street, Jackson, MI City State Zip. By May By July $ $75.00 $50.00 $ $ $150. JACKSON HOT AIR UBILff July 17th and 18th 2015 Arts/Crafts, Non-Profit Merchandise, Commercial Vendor Application Ella Sharp Park, 3225 Fourth Street, Jackson, MI 49203 Business Name Contact Person Address

More information

Annual National Shrimp Festival Rules & Guidelines for Vendors

Annual National Shrimp Festival Rules & Guidelines for Vendors Annual National Shrimp Festival Rules & Guidelines for Vendors The Annual National Shrimp Festival is produced by the Coastal Alabama Business Chamber (CABC). The CABC retains the exclusive and sole right

More information

Craft Vendors. Food Vendors. (Please Print)

Craft Vendors. Food Vendors. (Please Print) February 5-7, 2016 Hard Rock Live Seminole Hard Rock Hotel & Casino Hollywood VENDOR BOOTH APPLICATION Postmark Deadline: December 17, 2015 Craft Vendors Seminole Tribal Elders (60 years old & up)... FREE

More information

Miss North Logan City Pageant Application

Miss North Logan City Pageant Application Miss North Logan City Pageant Application You re invited to apply for the Miss North Logan City Pageant! Applications need to be returned to North Logan City Office, 2076 N 1200 E, or emailed to northloganrec@gmail.com,

More information

Delray Beach Holiday Parade 2016 Vendor Application

Delray Beach Holiday Parade 2016 Vendor Application Delray Beach Holiday Parade 2016 Application December 10, 2016 Rock and Roll Holiday December 10, 2016 The is one of Delray s longest running community events. It is free to the public, and attracts thousands

More information

The 2018 Rhode Island NFAA Sanctioned 300 Round NFAA State Championship

The 2018 Rhode Island NFAA Sanctioned 300 Round NFAA State Championship The Rhode Island Field Archery Association is proud to present : The 2018 Rhode Island NFAA Sanctioned 300 Round NFAA State Championship Hosted By: Tangy s Archery --Youth Form-- Style Division Target

More information

ESO GIRLS FASTPITCH SOFTBALL 2017 PLAYER REGISTRATION

ESO GIRLS FASTPITCH SOFTBALL 2017 PLAYER REGISTRATION ESO GIRLS FASTPITCH SOFTBALL 2017 PLAYER REGISTRATION Player Information First Name: Last Name: Address: City, State, Zip: Home Phone: Email: Date Of Birth: School: Grade: Jersey Size: Age Division Select

More information

Schedule: When: Saturday, December Time: 9:00-4:00pm Where: Garrett s Sports Complex/Fieldhouse Cost: $60/ per athlete

Schedule: When: Saturday, December Time: 9:00-4:00pm Where: Garrett s Sports Complex/Fieldhouse Cost: $60/ per athlete When: Saturday, December 9. 2017 Time: 9:00-4:00pm Where: Garrett s Sports Complex/Fieldhouse Cost: $60/ per athlete Instructors: SU Coaches & current SU Athletes Schedule: 9:00-9:45 Registration 9:45

More information

Participant Information (Incomplete information will not be processed) Last Name First Name Male Female Date of Birth: / /

Participant Information (Incomplete information will not be processed) Last Name First Name Male Female Date of Birth: / / ENTRY FORM Sponsored by Denver Northside Table Tennis 1-Star Tournament Sanctioned by USATT with $ 300 in Cash and Prizes Saturday, March 24 th 2018 www.denvernorthsidett.com or 303-601-3415 Participant

More information

The 2017 Rhode Island NFAA Sanctioned 300 Round NFAA State Championship

The 2017 Rhode Island NFAA Sanctioned 300 Round NFAA State Championship The Rhode Island Field Archery Association is proud to present : The 2017 Rhode Island NFAA Sanctioned 300 Round NFAA State Championship Hosted By: Trader Jan s --Youth Form-- Style Division Target Choice

More information

Honey Bee Pageant Application

Honey Bee Pageant Application Honey Bee Pageant Application Applications need to be returned to North Logan City Office, 2076 N 1200 E, or emailed to northloganrec@gmail.com, by March 27, 2017 by 5 pm. (No late applications will be

More information

Registration Form. Mother s/guardian Name: LAST FIRST INITIAL Address: Home Phone: City: State: Zip: Cell Phone:

Registration Form. Mother s/guardian Name: LAST FIRST INITIAL Address: Home Phone: City: State: Zip: Cell Phone: Registration Form Name: Address: City: State: Zip: School: Grade: Grad Year: GPA: HT: WT: Cell Phone: Email: Size: Shirt: Pants: Helmet: Shoe: Jersey #: (List 3 numbers) Parent/Guardian Information Player

More information

Lake Washington Rowing Club

Lake Washington Rowing Club Lake Washington Rowing Club 2018 Junior Rowing Program Participant Information Form Participant Information (all fields must be filled out),, Last Name First Name Today s Date Mailing Address Birthdate

More information

(Student Last name, First name Middle Initial).

(Student Last name, First name Middle Initial). 2013-14 (Student Last name, First name Middle Initial). Consent for Field Trip (P1a) DHS Band Combined Form P1a, P1b, P1c I hereby consent for the above named student to participate in athletic team, band,

More information

Tennessee Wesleyan University Volleyball Skills Camps

Tennessee Wesleyan University Volleyball Skills Camps Tennessee Wesleyan University Volleyball Skills Camps s: June 2 and June 9, 2018 at James L. Robb Gymnasium (204 E College St, Athens, TN 37303) (1:00pm-6:00pm, check in begins at 12:30pm) Cost: $75 per

More information

Vendor Application Packet Laclede s Landing

Vendor Application Packet Laclede s Landing Vendor Application Packet Laclede s Landing Big Muddy Blues Festival August 30 & 31, 2014 Important Dates: Completed application and payment due by: Big Muddy Blues Festival: August 22, 2014 Vendor information

More information

*** ALL handlers/riders/drivers MUST complete this form *** CONDITIONS OF ENTRY AHSA LIABILITY DECLARATION EVERY HANDLER, RIDER, DRIVER, GROOM & ANYONE HANDLING A HORSE OR PONY MUST COMPLETE THE ARABIAN

More information

Participant Information (Incomplete information will not be processed) Last Name First Name Male Female Date of Birth: / /

Participant Information (Incomplete information will not be processed) Last Name First Name Male Female Date of Birth: / / 2018 Denver NorthSide TTC FALL CLASSIC TOURNAMENT ENTRY FORM Sponsored by Denver Northside Table Tennis 1-Star Tournament Sanctioned by USATT with $500.00 in Cash and Trophies Saturday, October 13 th,

More information

WHAT S THE FLING ALL ABOUT? Spring Fling is more than just your average street fest - it s music, arts, crafts, food,

WHAT S THE FLING ALL ABOUT? Spring Fling is more than just your average street fest - it s music, arts, crafts, food, Service Provider App WHAT S THE FLING ALL ABOUT? Spring Fling is more than just your average street fest - it s music, arts, crafts, food, children s activities, & special attractions galore. Entertainment

More information

Hoover High School Invitational Regatta Hoover Reservoir Westerville, Ohio Saturday, April 12, 2003 Hosted by Westerville Crew

Hoover High School Invitational Regatta Hoover Reservoir Westerville, Ohio Saturday, April 12, 2003 Hosted by Westerville Crew Hoover High School Invitational Regatta Hoover Reservoir Westerville, Ohio Saturday, April 12, 2003 Hosted by Westerville Crew COURSE The racecourse is a 1500-meter course on Hoover Reservoir in Westerville,

More information

Welcome Team Advisors and Coaches;

Welcome Team Advisors and Coaches; Welcome Team Advisors and Coaches; We the Directors of the Texas High School Bass Association want to welcome you to the THSBA! Many of you have watched the growth of our organization over the last four

More information

Vendor Application. The 30th Annual. November 19, Anchor Park. South Ocean Blvd. (A1A - Delray Beach)

Vendor Application. The 30th Annual. November 19, Anchor Park. South Ocean Blvd. (A1A - Delray Beach) The City of Delray Beach Parks & Recreation Department Presents The 30th Annual Vendor Application November 19, 2016 Anchor Park South Ocean Blvd. (A1A - Delray Beach) For more information please Contact

More information

Vendor Application. October 29, th Annual. 1:00 pm to 4:00 pm. Veterans Park 802 NE 1st Street (Atlantic Ave.

Vendor Application. October 29, th Annual. 1:00 pm to 4:00 pm. Veterans Park 802 NE 1st Street (Atlantic Ave. The City of Delray Beach Parks & Recreation Department 27th Annual Keeping kids healthy, happy and safe! October 29, 2016 1:00 pm to 4:00 pm Veterans Park 802 NE 1st Street (Atlantic Ave. & Intracoastal)

More information

Individual Waiver. PUEBLO RANGERS, 5v5 or 3v3 SOCCER LEAGUE AND TOURNAMENT WAIVER AND RELEASE OF LIABILITY

Individual Waiver. PUEBLO RANGERS, 5v5 or 3v3 SOCCER LEAGUE AND TOURNAMENT WAIVER AND RELEASE OF LIABILITY PUEBLO RANGERS Individual Waiver Soccer Club PUEBLO RANGERS, 5v5 or 3v3 SOCCER LEAGUE AND TOURNAMENT WAIVER AND RELEASE OF LIABILITY (MUST BE COMPLETED AND PRESENTED AT LEAST 30 MINUTES PRIOR TO YOUR FIRST

More information

TEAM CONTACT: CONTACT PHONE: (Cell) (Home) ADDRESS: MAILING ADDRESS: CITY: STATE: ZIP:

TEAM CONTACT: CONTACT PHONE: (Cell) (Home)  ADDRESS: MAILING ADDRESS: CITY: STATE: ZIP: SOUTH GEORGIA BBQ & OUTDOOR FESTIVAL 5 TH ANNUAL DOUGLAS BBQ COOK-OFF 2018 APPLICATION The team s Pit Master has to be a Georgia BBQ Association members, prior to competition. GBA individual membership

More information

WAIVER, RELEASE OF ALL LIABILITY AND ASSIGNMENT OF CLAIMS. As consideration for being allowed to participate in the event described below, I agree:

WAIVER, RELEASE OF ALL LIABILITY AND ASSIGNMENT OF CLAIMS. As consideration for being allowed to participate in the event described below, I agree: WAIVER, RELEASE OF ALL LIABILITY AND ASSIGNMENT OF CLAIMS As consideration for being allowed to participate in the event described below, I agree: 1. I acknowledge that motor vehicle activity is a potentially

More information

RELEASE & WAIVER of LIABILITY INDEMNITY AGREEMENTS and MEMBERSHIP BEHAVIOR STATEMENT

RELEASE & WAIVER of LIABILITY INDEMNITY AGREEMENTS and MEMBERSHIP BEHAVIOR STATEMENT RELEASE & WAIVER of LIABILITY INDEMNITY AGREEMENTS and MEMBERSHIP BEHAVIOR STATEMENT Available with permission from YMCA Services Corporation Copyright 2005 YMCA Services Corporation All Rights Reserved

More information

Vendor Programs And Contract

Vendor Programs And Contract THE NICE FESTIVAL NORWALK INTERNATIONAL CULTURAL EXCHANGE Norwalk International Cultural Exchange Vendor Programs And Contract Vendor Categories & Pricing Vendor Types Pricing by January 15, 2017 Pricing

More information

South Suburban Youth Rugby Club

South Suburban Youth Rugby Club South Suburban Youth Rugby Club Middle School Grades 4-8 High School Fresh-Soph & Varsity Registration for 2016 Spring Season ALL FORMS MUST BE COMPLETED AND TURNED IN AND DUES PAID IN FULL BEFORE A PLAYER

More information

Florida Waiver (Commercial) (All parents of minors who are Florida residents must sign both the Florida commercial and non-commercial waivers)

Florida Waiver (Commercial) (All parents of minors who are Florida residents must sign both the Florida commercial and non-commercial waivers) Florida Waiver (Commercial) (All parents of minors who are Florida residents must sign both the Florida commercial and non-commercial waivers) (Commercial Activity Providers) WAIVER AND RELEASE OF LIABILITY

More information

BLAST FROM THE PAST 2018 Celebrating 1968 CRAFT VENDOR APPLICATION

BLAST FROM THE PAST 2018 Celebrating 1968 CRAFT VENDOR APPLICATION Celebrating 1968 CRAFT VENDOR APPLICATION 810 Metcalf Street P: 360.855.1841 F: 360-855-1582 The Blast from the Past Committee is again planning our Arts and Craft Show. This year it will again be a three-day

More information

Membership Registration Form

Membership Registration Form Today s Date: Leeward Judo Club Membership Registration Form Primary Dojo Location (Check box): Pearl City Waipahu Student Information: Name (First, MI, Last) Date of Birth Age Sex Male Female Address

More information

ATHENS YMCA CAMP KELLEY SUMMER CAMP 2018

ATHENS YMCA CAMP KELLEY SUMMER CAMP 2018 ATHENS YMCA CAMP KELLEY SUMMER CAMP 2018 POLICIES Cost: Full Week (5 Days) $115, Half Week (3 Days) $70; Additional Children: Any additional children will receive a $10 discount on full weeks ONLY. Registration

More information

Get!a!Grip:!Fall!2018! Information*and*Form*Package*

Get!a!Grip:!Fall!2018! Information*and*Form*Package* GetaGrip:Fall2018 Information*and*Form*Package* Pleasereturnthefollowingdocumentscompletedto: 1.Email:info@elevationoutdoors.ca OR 2.Mail:P.O.Box20071,TowneCentre,Kelowna,BC,V1Y9H2 ElevationOutdoorsWaiver

More information

Kayak and Stand Up Paddleboard Rental Agreement

Kayak and Stand Up Paddleboard Rental Agreement Welcome to Daniel Island kayak and stand up paddleboard rentals. Participants must be 18 or older to rent a water craft. Children must be a minimum of 50lbs or 3 years of age to participate. An adult must

More information

2019 Historic Appomattox Railroad Festival Application Food Concession Application

2019 Historic Appomattox Railroad Festival Application Food Concession Application Historic Appomattox Railroad Festival P.O. Box 513 Appomattox, VA 24522 (434) 363-8003 Attention Concessionaires: The Historic Appomattox Railroad Festival (HARF) committee cordially invites you to participate

More information

Before and After School Care

Before and After School Care Before and After School Care BLAIR FAMILY YMCA 2016-2017 School Year Registration Forms To put Christian principles into practice through programs that build a health spirit, mind and body for all. -YMCA

More information

OHIO STATE UNIVERSITY EXTENSION

OHIO STATE UNIVERSITY EXTENSION OHIO STATE UNIVERSITY EXTENSION SUMMER 4-H CAMP WHERE DREAMS COME TRUE Registration Form June 3-7, 2019 Office Use Only Payment: Cabin: Team: Camper Name_ Home Address Gender Date of Birth Grade in School

More information

North Carolina A&T Summer Youth Programs Let the summer fun begin!

North Carolina A&T Summer Youth Programs Let the summer fun begin! North Carolina A&T Summer Youth Programs Let the summer fun begin! The Office of Extended Learning - Continuing Education and Professional Development would like to thank you for selecting North Carolina

More information

Please note that there is no liability coverage for wrestling activities held at a home or residential dwelling

Please note that there is no liability coverage for wrestling activities held at a home or residential dwelling Insurance coverage 2017-18 Insurance Information At USA Wrestling, our top priorities are safety and security. That's why we make sure you're covered by General Liability, Accidental Medical Expense, and

More information

Hamilton and Friends Musical Theatre Camp

Hamilton and Friends Musical Theatre Camp JULY 9-20 SUMMER of 18! (Ages 9-13) Registration Form: $375.00/wk Early Bird Rate (now - March 1) $400.00/wk Standard Rate (beginning March 2) Child s Name: Date of Birth: Age: School Grade in the Fall:

More information

Farmers Market Vendor Application Packet

Farmers Market Vendor Application Packet Farmers Market Vendor Application Packet Please print out, complete, sign, and return the following documents: Vendor Information Form - Page 3 Release and Waiver of Liability, Assumption of Risk and Indemnity

More information

Karen McCallum. Volunteer- Counselor in Training Applications. Spring Dear Counselor in Training Applicant:

Karen McCallum. Volunteer- Counselor in Training Applications. Spring Dear Counselor in Training Applicant: Volunteer- Counselor in Training Applications Spring 2018 Dear Counselor in Training Applicant: Boardman Park Adventure Day Camp Program prides itself on its reputation for quality and service. This recognition

More information

MEMBERSHIP CATEGORY (circle one) For current dues please refer to the website Membership page

MEMBERSHIP CATEGORY (circle one) For current dues please refer to the website Membership page Page 1 MEMBERSHIP REGISTRATION RAT ISLAND ROWING AND SCULLING CLUB NAME (print clearly): Date of birth: / / Home phone: ( ) - - Work/Cell: ( ) - - Email: Mailing address (city/ state) (Zip) Today s date:

More information

Ogden Cycle Association Membership Agreement

Ogden Cycle Association Membership Agreement Date: Ogden Cycle Association Membership Agreement Membership Type: (mark all that apply) Single Family Non-Wor king Charter Life Cash / Check # Amount Paid $ Receipt # New Member / Annual Renewal I agree

More information

Pinetop-Lakeside Chamber of Commerce 4 th of July Mutt Strutt Wednesday, July 4th, 2018

Pinetop-Lakeside Chamber of Commerce 4 th of July Mutt Strutt Wednesday, July 4th, 2018 2 March 2018 Dear Vendor, Enclosed you will find the vendor application for the first ever Pinetop-Lakeside Chamber of Commerce 4 th of July Mutt Strutt. In conjunction with the town of Pinetop-Lakeside,

More information

Cagan Crossings Farmers Market Guidelines. Cagan Crossings Town Center

Cagan Crossings Farmers Market Guidelines. Cagan Crossings Town Center Cagan Crossings Farmers Market Guidelines Fridays 4 to 8pm Seasonal/ Friday after Labor Day until Friday before Memorial Day Cagan Crossings Town Center Cagan Crossings Farmers Market is a market in which

More information

D.M.G. Athletics. The Official Indoor/Outdoor Summer Basketball League. Team Registration Packet

D.M.G. Athletics. The Official Indoor/Outdoor Summer Basketball League. Team Registration Packet D.M.G. Athletics Presents The Official Indoor/Outdoor Summer Basketball League Team Registration Packet Questions: Contact Coach Dawne Gittens at 860-929-7692 or via email at dgittens@bgchartford.org Team

More information

CAMP/CLINIC DATES: July 21 22, 2018 and/or August 11 12, 2018 MEDICAL HISTORY. Street City State Zip

CAMP/CLINIC DATES: July 21 22, 2018 and/or August 11 12, 2018 MEDICAL HISTORY. Street City State Zip Please fill out this form completely. It is important for the provision of proper medical care. The section marked Physician s Comments need only be completed if the participant has a major health problem.

More information

ALL SPORTS STRENGTH AND CONDITIONING CAMP

ALL SPORTS STRENGTH AND CONDITIONING CAMP U n i v e r s i t y o f W a s h i n g t o n H u s k i e s ALL SPORTS STRENGTH AND CONDITIONING CAMP SATURDAY JUNE 1st, 2013 9-11am: grades 6-8 11:30-1:30pm; grades 9-10 2-4pm: grades 11-12 It s back for

More information

Instructions for Completing Ford DSFL Waivers

Instructions for Completing Ford DSFL Waivers Instructions for Completing Ford DSFL Waivers 1) Print out the four (4) forms attached. (Print in color if possible) 2) All 4 forms must be filled in COMPLETELY. If forms are not completed and signed properly

More information

The Ocala Jeep Club of Florida Inc. with Phillips Chrysler Jeep Dodge Ram & The Market of Marion Present the Southeast s Best 3 day Jeep Exclusive

The Ocala Jeep Club of Florida Inc. with Phillips Chrysler Jeep Dodge Ram & The Market of Marion Present the Southeast s Best 3 day Jeep Exclusive The Ocala Jeep Club of Florida Inc. with Phillips Chrysler Jeep Dodge Ram & The Market of Marion Present the Southeast s Best 3 day Jeep Exclusive Show Proceeds benefit: Interfaith s Food for Kids, Ronald

More information

Please be certain that you read and understand all the documents before you submit them.

Please be certain that you read and understand all the documents before you submit them. Dear Valued Vendor, The Phoenix Chinese Week Festival is scheduled to be held on February 16 th, 17 th and 18 th, 2018 at the Margaret T. Hance Park (East Side), 1202 N. 3rd Street, Phoenix, 85004. Attached

More information

2013 USACA MEMBERSHIP & INSURANCE

2013 USACA MEMBERSHIP & INSURANCE 2013 USACA MEMBERSHIP & INSURANCE USACA Membership and Insurance Dues for 2013 Membership and Insurance rates for 2013 will remain the same as 2012 rates Membership and Insurance (general liability and

More information

The College of Engineering & Computer Science Webelos Engineering Pin Day Saturday, October 28, 2017

The College of Engineering & Computer Science Webelos Engineering Pin Day Saturday, October 28, 2017 The College of Engineering & Computer Science 2017 Webelos Engineering Pin Day Saturday, October 28, 2017 Registration at 7:30 a.m. - Event runs from 8:00 to 11:15 a.m. University of Evansville Koch Center

More information

We are very excited! This is a FREE festival and we are anticipating a very large turnout. We will be featuring the following events:

We are very excited! This is a FREE festival and we are anticipating a very large turnout. We will be featuring the following events: Aloha! On behalf of the 2012 Sacramento Aloha Festival Committee (SAFC), I welcome you to the 2 nd Annual Sacramento Aloha Festival to be held on October 13, 2012 from 10:00 a.m. to 6:00 p.m. at the California

More information

WELCOME TO KITTY HAWK KITES The Largest Hang Gliding School in the World - Where the Adventure Begins *please print clearly and fill out completely

WELCOME TO KITTY HAWK KITES The Largest Hang Gliding School in the World - Where the Adventure Begins *please print clearly and fill out completely WELCOME TO KITTY HAWK KITES The Largest Hang Gliding School in the World - Where the Adventure Begins *please print clearly and fill out completely 1. Name: First Last M.I. 2. Email: 2. Mailing Address:

More information

Pocock Rowing Center

Pocock Rowing Center Pocock Rowing Center Office Use QB LGL XL S Code Membership Forms New Member Existing Member Former Member First Name: Last Name: Address: City: St: Zip: Email Address: Cell Phone ( ) Alt Phone: ( ) Gender:

More information

The Allegheny River Rumble

The Allegheny River Rumble Three Rivers Adaptive Sports & Golden Triangle Water Ski Club Presents: The Allegheny River Rumble Sunday August 26, 2018 Golden Triangle Water Ski Club facility on the Allegheny River s Nine Mile Island

More information

2016 5K Reindeer Run/Walk Team Registration

2016 5K Reindeer Run/Walk Team Registration 2016 5K Reindeer Run/Walk Team Registration Team Registration Forms and Waiver must be fully completed and received by December 2 nd in order to receive the $20/person group rate; Minimum of 3 people per

More information

Information Packet for Restaurant and Business Members

Information Packet for Restaurant and Business Members Information Packet for Restaurant and Business Members Westfield Brandon SATURDAY, MARCH 9, 2019 459 Brandon Town Center Drive Dear Member, As a civic organization whose mission it is to foster success

More information

Date of Birth Address City State Zip

Date of Birth Address City State Zip RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT BY SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE. You have the right to consult

More information

Tarrant County College South Campus Generation Hope Student Application

Tarrant County College South Campus Generation Hope Student Application Tarrant County College South Campus Generation Hope Student Application Requirements FOR NEW APPLICANTS: Parental Permission Completed application 1 Essay 2 Teacher Recommendation Copy of last year s report

More information

Registration Form. Special Information (allergies, medical, behavioral, etc) you would like us to know about the gymnast/dancer:

Registration Form. Special Information (allergies, medical, behavioral, etc) you would like us to know about the gymnast/dancer: Registration Form Gymnast/Dancer Information Name: Date of Birth (MM/DD/YYYY): School (For Scheduling Purposes): School District (For Scheduling Purposes): Special Information (allergies, medical, behavioral,

More information

Upper Natoma Rowing Club Junior Member Application (Please print clearly)

Upper Natoma Rowing Club Junior Member Application (Please print clearly) Upper Natoma Rowing Club Junior Member Application (Please print clearly) Name Birth Date Address City State Zip Code Phone Numbers (Home) Athlete (Cell) Athlete E-mail address School Graduation Year USRA

More information

Pryme Tyme Before & After School Program Enrollment Form

Pryme Tyme Before & After School Program Enrollment Form Enrollment Form Child s Name Sex DOB / / Age Child s School Grade AM PM Both Lunch Status: E-Mail Mother s Name Cell #: Home #: Place of Employment: Work Phone: Employer s Full Address: Father s Name Cell

More information

MIAMI ROWING & WATERSPORTS CENTER, INC Membership (6 pages) Application For:

MIAMI ROWING & WATERSPORTS CENTER, INC Membership (6 pages) Application For: MIAMI ROWING & WATERSPORTS CENTER, INC. 2017 Membership (6 pages) Application For: FAMILY MEMBERSHIP: Initiation Fee: $500.00 Monthly Dues: $110.00 Annual Due $1320.00 Equipment Fund Monthly Due $15.00

More information

SCCA Rally/Solo Release and Waiver Guidelines

SCCA Rally/Solo Release and Waiver Guidelines RISK MANAGEMENT I. Introduction SCCA Rally/Solo Release and Waiver Guidelines These guidelines are intended to provide basic information regarding release and waiver procedures for ALL non-club or SCCA

More information

East High Rugby Sooner State Tour II Friday April 6 Monday April 9

East High Rugby Sooner State Tour II Friday April 6 Monday April 9 East High Rugby Sooner State Tour II Friday April 6 Monday April 9 All East High Rugby players are encouraged to travel with the team to matches in Tulsa, Oklahoma. The 22 nd annual tour is a great team

More information

ADULT COACHING APPLICATION

ADULT COACHING APPLICATION - MIAMI ROWING & WATERSPORTS CENTER, Inc. ADULT COACHING APPLICATION -MEMBER HRLY Private lessons where non-members and members can come and row in a one-on-one session tailored to your skill level and

More information

Keg Creek Watersports 3780 Dogwood Ln Appling, Ga (706) Waiver, Release of Liability and Assumption of Risk Agreement (EXHIBIT A )

Keg Creek Watersports 3780 Dogwood Ln Appling, Ga (706) Waiver, Release of Liability and Assumption of Risk Agreement (EXHIBIT A ) Keg Creek Watersports 3780 Dogwood Ln Appling, Ga 30802 (706) 339-0386 Waiver, Release of Liability and Assumption of Risk Agreement (EXHIBIT A ) I. DISCLAIMER: YOU MUST BE AT LEAST 18 YEARS OF AGE TO

More information

CITY OF PALM COAST YOUTH PARKS & RECREATION DEPARTMENT ADULT REGISTRATION FORM SENIOR

CITY OF PALM COAST YOUTH PARKS & RECREATION DEPARTMENT ADULT REGISTRATION FORM SENIOR CITY OF PALM COAST YOUTH PARKS & RECREATION DEPARTMENT ADULT REGISTRATION FORM SENIOR Please print clearly. Completion of the registration process is required for each participant prior to program start

More information

FACILITY RENTAL APPLICATION *Application approval is based on facility availability, staffing demands and event specifics.

FACILITY RENTAL APPLICATION *Application approval is based on facility availability, staffing demands and event specifics. FACILITY RENTAL APPLICATION *Application approval is based on facility availability, staffing demands and event specifics. Name/: Date & Day of Event: Start Time: End Time: *see page 2 for set times available

More information

COLLEGE OF CHARLESTON LIABILITY RELEASE, EMERGENCY MEDICAL AUTHORIZATION AND AGREEMENT (Domestic Travel)

COLLEGE OF CHARLESTON LIABILITY RELEASE, EMERGENCY MEDICAL AUTHORIZATION AND AGREEMENT (Domestic Travel) COLLEGE OF CHARLESTON LIABILITY RELEASE, EMERGENCY MEDICAL AUTHORIZATION AND AGREEMENT (Domestic Travel) 1. I, the undersigned student desire to participate in the following activity/trip ( Activity ),

More information

UNITED STATES AUTO CLUB

UNITED STATES AUTO CLUB UNITED STATES AUTO CLUB 2015.25 MIDGET FAMILY COMPETITION LICENSE APPLICATION FOR ANNUAL FAMILY MEMBERSHIP & AUTHORIZATION FOR PUBLICITY USEAGE ANNUAL RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK

More information

Telluride Ski and Golf Assumption of Risk, Release of Liability, and Indemnity Agreement 3. Media Release: 4. Medical Care: 5.

Telluride Ski and Golf Assumption of Risk, Release of Liability, and Indemnity Agreement 3. Media Release: 4. Medical Care: 5. Telluride Ski and Golf Assumption of Risk, Release of Liability, and Indemnity Agreement The purpose of this Agreement is to exempt, waive, and release Released Parties from any and all liability for wrongful

More information

Name: Company or Organization: Address: Phone: Please describe your booth and or activity in the spaces provided.

Name: Company or Organization: Address: Phone:   Please describe your booth and or activity in the spaces provided. Vendor & Food Truck Application Form Saturday, September 8 th 2018 Event: 12:00 p.m. 6:00 p.m. (vendor sales and exhibits until 5:00 p.m.) Set Up: 11:00 a.m. 11:45 p.m. Deadline to Become a Vendor (non

More information

Math + Leadership Camp Rancho Minerva Middle School July 11-22, Registration Form

Math + Leadership Camp Rancho Minerva Middle School July 11-22, Registration Form Math + Leadership Camp 2016 @ Rancho Minerva Middle School July 11-22, 2016 Registration Form CONTACT INFORMATION Math for America San Diego Email: sandiego@mathforamerica.org Phone: 858-822-6284 OFFICE

More information

EAGLE COUNTY ADOPT-A-TRAIL PROGRAM GUIDELINES

EAGLE COUNTY ADOPT-A-TRAIL PROGRAM GUIDELINES EAGLE COUNTY ADOPT-A-TRAIL PROGRAM GUIDELINES Eagle County has recently initiated an Adopt-A-Trail program. The program allows any organization to take pride in their community by keeping it litter free.

More information

UNITED STATES AUTO CLUB

UNITED STATES AUTO CLUB UNITED STATES AUTO CLUB 2016.25 MIDGET FAMILY COMPETITION LICENSE APPLICATION FOR ANNUAL FAMILY MEMBERSHIP & AUTHORIZATION FOR PUBLICITY USEAGE ANNUAL RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK

More information

PARTICIPANT AGREEMENT (For Adult Participants) RELEASE OF LIABILITY, VOLUNTARY ASSUMPTION OF RISK AND INDEMNITY AGREEMENT

PARTICIPANT AGREEMENT (For Adult Participants) RELEASE OF LIABILITY, VOLUNTARY ASSUMPTION OF RISK AND INDEMNITY AGREEMENT EXHIBIT D PLEASE READ CAREFULLY (For Adult Participants) RELEASE OF LIABILITY, VOLUNTARY ASSUMPTION OF RISK AND INDEMNITY AGREEMENT I,, a person being over the age of eighteen, hereby enter this RELEASE

More information

SKATEBOARD COMPETITION ENTRY FORM

SKATEBOARD COMPETITION ENTRY FORM CITY OF KISSIMMEE PARKS, RECREATION & PUBLIC FACILITIES SKATEBOARD COMPETITION ENTRY FORM For your convenience, competition entry forms will be accepted in person, by mail, via fax or email at the location

More information

Please fill out both sides of this form!!!

Please fill out both sides of this form!!! $ # Circle one: Mixed Doubles Rockbridge Hunt Hunter Pace & Trail Ride Please fill out both sides of this form!!! Entry fee: Adult rider (18 and over) -- $35 per horse Junior rider (under 18) -- $20 per

More information

39th Annual BENCH STRICT CURL DEADLIFT APRIL 21, % Raw prior to weigh-ins. $30 for Adults; $15 for athletes 19 & under and Special Olympians.

39th Annual BENCH STRICT CURL DEADLIFT APRIL 21, % Raw prior to weigh-ins. $30 for Adults; $15 for athletes 19 & under and Special Olympians. 39th Annual BENCH STRICT CURL DEADLIFT APRIL 21, 2018 MEET DIRECTOR: Jay Siegel engrave2@verizon.net SCHEDULE: All events take place at the BIGLER YMCA 61 Walker Rd. Bigler, PA 16825 Friday April 20, 2018

More information

RETAIN THIS SHEET FOR YOUR INFORMATION AND MAIL ENTRY FORM

RETAIN THIS SHEET FOR YOUR INFORMATION AND MAIL ENTRY FORM REVISED 01/20/08 SIXTH ANNUAL AAU TRIPLE CROWN CLASSIC 2008AAU EAST COAST BENCH PRESS CLASSIC 2008 AAU MILITARY NATIONALS FULL POWER 2008 AAU MILITARY NATIONALS BENCH PRESS ENTRY DEADLINE: APRIL 20, 2008

More information

WHAT S THE FLING ALL ABOUT? Spring Fling is more than just your average street fest - it s music, arts, crafts, food,

WHAT S THE FLING ALL ABOUT? Spring Fling is more than just your average street fest - it s music, arts, crafts, food, Family Fun Zone App WHAT S THE FLING ALL ABOUT? Spring Fling is more than just your average street fest - it s music, arts, crafts, food, children s activities, & special attractions galore. Entertainment

More information

COLLEGE OF CHARLESTON STUDENT CONSENT, MEDICAL AUTHORIZATION, AND RELEASE AGREEMENT (International Travel) Name of Program:

COLLEGE OF CHARLESTON STUDENT CONSENT, MEDICAL AUTHORIZATION, AND RELEASE AGREEMENT (International Travel) Name of Program: COLLEGE OF CHARLESTON STUDENT CONSENT, MEDICAL AUTHORIZATION, AND RELEASE AGREEMENT (International Travel) Name of Program: THIS FORM MUST BE SIGNED AND RECEIVED BY THE CENTER FOR INTERNATIONAL EDUCATION

More information

AMERICAN YOUTH FOOTBALL Volunteer Forms

AMERICAN YOUTH FOOTBALL Volunteer Forms Volunteer Forms REQUIRED FOR REGIONAL AND NATIONAL PARTICIPATION Volunteer forms must be presented for compliance verification prior to any team participation in any American Youth Football, Inc., American

More information

PARADE APPLICATION RULES

PARADE APPLICATION RULES PARADE APPLICATION RULES 1. All applicants for entry are subject to approval and acceptance by the Parade committee. For applications to be considered, they must be completed and received by December 1,

More information

Date: Friday Evenings from 5:00pm to 7:00pm Where: Kalanianaole Highway, Waimanalo Phone:

Date: Friday Evenings from 5:00pm to 7:00pm Where: Kalanianaole Highway, Waimanalo   Phone: Date: Friday Evenings from 5:00pm to 7:00pm Where: 41-1029 Kalanianaole Highway, Waimanalo Email: Phone: 808-690-7607 MOMONA NIGHTS VENDOR RULES AND REGULATIONS I. MARKET APPLICATION All vendors must provide

More information

2015 AAU/USA NATIONAL KARATE CHAMPIONSHIPS

2015 AAU/USA NATIONAL KARATE CHAMPIONSHIPS 2015 AAU/USA NATIONAL KARATE CHAMPIONSHIPS CLUB APPLICATION INSTRUCTIONS 1. Any AAU member club may send in a club application, instead of individual entry applications. 2. Please follow all instructions

More information

2016 AAU/USA NATIONAL KARATE CHAMPIONSHIPS CLUB APPLICATION INSTRUCTIONS

2016 AAU/USA NATIONAL KARATE CHAMPIONSHIPS CLUB APPLICATION INSTRUCTIONS 2016 AAU/USA NATIONAL KARATE CHAMPIONSHIPS CLUB APPLICATION INSTRUCTIONS 1. Any AAU member club may send in a club application, instead of individual entry applications. 2. Please follow all instructions

More information

MEDICAL INFORMATION AND MEDICAL TREATMENT RELEASE AND AUTHORIZATION FORM

MEDICAL INFORMATION AND MEDICAL TREATMENT RELEASE AND AUTHORIZATION FORM MEDICAL INFORMATION AND MEDICAL TREATMENT RELEASE AND AUTHORIZATION FORM Camp Information Address: City, State, Zip Code: Gender: Medical Information The decision whether to permit the participant identified

More information

Derby Lane presents Mutt Derby 2018

Derby Lane presents Mutt Derby 2018 Derby Lane presents Mutt Derby 2018 Sunday February 18, 2018 11:30am 5:00pm, PLEASE NOTE: Registration Deadline is Friday, February 9 th All proceeds benefit greyhound pet adoptions! VENDOR AGREEMENT PART

More information