REGISTER BEFORE 9/24/10;
to: SHARON WILZ, 572 43RD ST., JASPER, IN 47546
Following is a list of a few simple rules we will need for everyone to follow:
1. You are responsible for your own setup including items such as tables, chairs,money box or any other items you feel you may need.
2. If you need electric you must indicate so on the form below and you must bring heavy duty cords and duct tape.
3. Setup will begin at 8:00 a.m. that morning and we will notify you where you are to setup
by Friday, October 1, 2010. If you have not heard by Friday you may call Sharon at 630-4665 or 482-2866.
4. Parent supervision is required for younger children, for setup and for handling
of money and change, if they are unable to do so on their own.
5. Parent or guardian must sign waiver and release form in order for child to participate.
6. Parents must move their vehicles immediately after unloading,
so by 9:00 customers for the event will have parking space available.
Some parking will be available at the Old National Bank and German American Bank parking lots.
In case of weather related problems we ask that you use your own judgment
unless we announce the cancellation of the event on WITZ.
TO ENTER YOUR BOOTH: PLEASE COMPLETE THE ATTACHED REGISTRATION/ WAIVER
AND RELEASE FORM AND MAIL IT TO SHARON WILZ, 572 43RD ST., JASPER, IN 47546 BY
FRIDAY, SEPTEMBER 24. FOR ADDITIONAL INFORMATION OR FOR QUESTIONS PLEASE CALL 630-4665.
IF MORE THAN ONE WILL BE DOING THE BOOTH TOGETHER PLEASE ONLY SEND IN ONE FORM
AND LIST THE NAMES OF ALL ON THE FORM AND HAVE ALL PARENTS SIGN THE WAIVER FORM.
IF YOU WISH TO BE BY ANOTHER BOOTH PLEASE MAIL THE FORMS TOGETHER
REQUESTING THAT YOU BE PLACED BY EACH OTHER.
NAME___________________________________________PHONE#_____________________
ADDRESS____________________________________________________________________
GRADE____________WHAT YOU WILL BE SELLING______________________________
NUMBER OF TABLES__________SIZE OF TABLES________________________________
TOTAL SPACE (MUST BE AGAINST BUILDING) YOU WILL NEED__________________
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I hereby for myself and minor child, ____________________________ my administrators,
heirs and assigns waive and release any and all right and claims for damages, including negligence,
I may have against the Greater Downtown Jasper Business Association;
its officers, directors, employees and volunteers; the organizers of this Kid’s Day event;
their sponsors, associates, contractors, other entrants and representatives, Dubois County, its boards, elected
and appointed officials and its employees, and the City of Jasper, its boards, elected and appointed officials,
and its employees, for property damage or personal injury, including death, that may arise or grow out of my
participation or my minor child’s participation in the Kid’s Day event. I also agree to indemnify and hold harmless
the Greater Downtown Jasper Business Association; its officers, directors, employees and volunteers;
the organizers of this Kid’s Day event; their sponsors, associates, contractors, other entrants and representatives,
the City of Jasper, its boards, elected and appointed officials, and its employees in any claim,
damages, expenses or action, including attorney fees, assessed or brought against them because of my acts or
omissions or the acts or omissions of my minor child.
I also agree to follow the rules of Kid’s Day, exercise all safety precautions,
avoid littering, and respect the property of others.
______________________________________
Signature of guardian
______________________________________
Date
Thank You !!