Craft/Vendor Registration Form for HW Good Fall Open House HW Good Elementary School Tuesday, September 12th, 2017 from 5:30 to 7:30 PM Table: One 6 foot table, $15 Electrical Outlet Needed: ____ Yes ____ No (Must bring own extension cord, limited number of outlets available) $ ___________ Check made payable to: HW Good PTO
Please submit completed registration form and payment to: HW Good PTO 1464 Herminie West Newton Road Herminie, PA 15637
Vendor Information: Name: ________________________________________________ Phone: _____________________________________ Address: __________________________________________________________________________________________ Email: ________________________________________ Name of Business: ____________________________________ Description of Craft/Items:____________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________
* * We also require vendors to donate a basket with a value of at least $20 retail value to include in the Raffle. Be sure to include your business card or mini mailer * * * * Vendors and Crafters can begin setting up at approximately 4:30 PM. More information to come about specific times * *
Release of All Claims
I, the undersigned of this agreement, forever discharge and agree to hold harmless, HW Good PTO, and the representatives thereof, from any and all liability, claims or demands for personal property or damage, injury, or expense of any nature whatsoever which may be incurred in the course of participation in the HW Good Fall Open House.
Furthermore, I agree to assume all responsibility for any of the previously mentioned occurrences.
Printed Name:
Business or Craft Name:
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Signature:
Date:
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EFFECTIVE DURING SET-UP, DURATION AND TEAR DOWN OF THE EVENT
Event Contact: Sarah Zontek, 724-972-6330,
[email protected]