Farmers Market and Art Walk Registration Please fill out the form below to register. 2018 REGISTRATION FORM * required field First Name* Last Name* Date of Birth mm-dd-yyyy* Business Name (if applicable) Address* City* State* Zip* Phone* Email* ALL VENDORS are aware they need to park on Hall Street or further away for customer consideration. Vendors that have handicapped license plates or have made arrangements with the Market Manager for disabilities/handicaps can park in the LDS Chapel parking lot. Otherwise, the LDS chapel parking lot, 9th and 11th Streets are for CUSTOMERS ONLY. Please note that infractions are neither neighborly nor kind. Vehicle Make* Model* State* Plate #* *By signing this agreement, participant vendors agree to a criminal background check using the information provided above. VENDOR PRODUCTS – All Items have to be hand-made, grown or produced in AZ PLEASE NOTE: Farmer’s Market agricultural produce have been expanded to the Four Corners region. This region includes ONLY the states of Arizona, New Mexico, Utah, and Colorado. If you have any questions, please call the Market Manager. Please select the type(s) of product you plan on bringing to market. Grower/Agricultural Products: Produce, meat, eggs, dairy, honey, vegetables, fruits or plants How are your agricultural products grown? Home GrownCertified OrganicConventionalOther Food Products - Contact the Navajo County Health Dept at (928) 532-6050 x5550 to make sure you are in compliance. Food Concessionaire Baked Goods Jams and Jellies Meat Products Sauces Other Arts & Crafts Art Candles Crafts Jewelry Signs: Decorative, word or phrases Soaps & Lotions Other Describe the items you will be selling at our market (Required) and you may be contacted by the Market Manager for further details or to submit a picture or a sample. VENDOR OPTIONS - PLEASE CHOOSE ONE OPTION BELOW WEEKLY VENDORS (Please click the checkbox below to indicate you are a Weekly Vendor.) Weekly Vendor: I am submitting this application and would like to “Pay as I Go”. I will call the Market Manager by Wednesday each week that I would like to participate, make the $25 payment and choose my space based on availability at that time. I understand the spaces are by availability and I can choose to upgrade to a “Season Vendor” at any time. Please note that if you make arrangements to come and do not, your payment is still required. **Weekly Vendors, please skip to the next section. SEASON VENDOR (Please click the box below to indicate you are a Season Vendor. Season Vendor: I am submitting this application to prepay for the entire season, or remaining Saturdays of the season and enclose a nonrefundable payment check for the full amount due. By prepaying, I will be able to choose my space and it will be guaranteed for the entire season. Spaces will be reserved on a first come, first served paid basis. Due to availability, please list your top 3 space choices. 1st: 2nd: 3rd: Season Pricing: $250 by Feb 28th, $350 by May 15th and then refer to pricing chart below. Week 1 5/26 $ 380 Week 5 6/23 $ 300 Week 9 7/18 $ 220 Week 2 6/2 $ 360 Week 6 6/30 $ 280 Week 10 7/25 $ 200 Week 3 6/9 $ 340 Week 7 7/4 $ 260 Week 4 6/16 $ 320 Week 8 7/11 $ 240 * 2018 Season Vendor Pass Purchase Deadline 7/31/18 By signing this agreement, vendors acknowledge that they have read this application and the Show Low Main Street Farmers Market & Art Walk (“The Market”) Rules and Regulations and agree to abide by the guidelines and decisions of the Market or other representatives of the Farmers Market. In consideration of being permitted to participate in the Farmers Market, vendors hereby release and forever discharge on behalf of itself, successors or assigns, the City of Show Low and Show Low Main Street, its contractors, volunteers and support organizations of any claim of any nature, either in law or equity, arising from or by reason of any bodily injury or personal injuries, known or unknown, death or property damage, resulting from any accident which may occur as a result of participation in the Show Low Main Street Farmers Market & Art Walk or any other activities in connection herewith, whether by negligence or not. The Farmers Market shall be entitled to terminate approval of this application at any time, whereupon the vendor agrees to immediately vacate the premises. This termination may take place in the event of the following: failure to pay the reservation fee; failure to abide by the obligations in this application; failure to abide by the Show Low Main Street Farmers Market & Art Walk Rules and Regulations, failure to be open for business as a seasonal vendor, or two or more absences without prior notification to the Market Team. The vendor acknowledges and agrees that the Show Low Main Street Farmers Market & Art Walk shall have no liability for any incidental or consequential damages, loss of business, or otherwise for terminating this application in accordance with the terms set forth above. The Show Low Main Street Farmers Market & Art Walk reserves the right at any time during the term of this agreement to relocate the vendor within the market to another space at the Market Team’s discretion. It is not required that each vendor has general liability insurance; however, each vendor will be required to sign and submit a Release and Indemnity Agreement prior to set-up at the Market. FMNP In order to comply with the Arizona Farmers Market Nutrition Program rules, we limit the resale of fresh produce 1. FMNP vendors are responsible for complying with all health and safety requirements of the Navajo County Health Dept. 2. Only FMNP Approved Growers may accept FMNP Payment Instruments, and only for eligible foods that were grown in Arizona by an FMNP Approved Grower. 3. All FMNP Growers must comply with FMNP Rules as defined in the Arizona Farmers Market Nutrition Program Manual for Growers and Market Managers. 4. Resale transactions with FMNP Payment Instruments are prohibited 5. Our market excluded FMNP growers from dropping off produce for managers or other growers to sell. PLEASE NOTE that vendors are responsible for reading and understanding the “Rules & Regulations” as well as obtaining all licenses, permits, and insurance that may be required by local, county, state, and/or federal governments for the sale of your product(s). Send the completed application and payment to Show Low Main Street. Please make checks payable to Show Low Main Street. Credit cards are now accepted for an additional 3%, two dollar minimum, processing fee. I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Farmers Market and Art Walk Vendor Registration Agreement. Please type your first and last name below. Signature Date mm-dd-yyyy Title 2018 RELEASE & INDEMNITY AGREEMENT (Please type First and Last Name Here), hereinafter “Applicant” agrees to indemnify and hold the Show Low Main Street, hereinafter “Main Street” harmless for any and all claims or lawsuits for personal injuries, wrongful death or property damage arising from the acts or omissions of Applicant which is related to Applicant’s sale of products or services or Applicant’s booth or exhibit area at the Market. Applicant shall be solely responsible for providing products liability insurance, completed operations insurance or other liability insurance, which would provide coverage for the acts or omissions of Applicant, or for Applicant’s activities at the Market. In the event that Applicant chooses not to purchase such liability insurance Applicant understands that Applicant shall be corporately and individually responsible for holding Main Street harmless and for defending any lawsuits or claims made by insured persons. Applicant’s indemnification of Main Street shall include all the costs of defense including reasonable attorney fees, expert witness’ fees, travel, food and lodging expenses related to the defense and other costs actually incurred by Main Street in defending such claims and lawsuits. In the event that Applicant has liability insurance, Applicant agrees to add Main Street as an additional name insured for this event only. Applicant further agrees and promises that Applicant will be solely responsible for the payment of all taxes, workman’s compensation benefits and other taxes, fees, etc., relating to Applicant’s sale of products and services and will hold Main Street harmless for any and all such taxes, fees or benefits. Further, Applicant agrees that it will abide by all Federal, State and local laws and ordinances related to its use of the booth or exhibit area during the Market. Applicant further states it will defend and hold Main Street harmless for any violation of law relating to Applicant’s activities or Applicant’s use of the booth or exhibit area. Applicant further states it will defend and hold Main Street harmless for any violation of law relating to Applicant’s activities or Applicant’s use of the booth or exhibit area. In the event that Applicant is a corporation, both the President and Secretary must sign. I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Farmers Market and Art Walk Release and Indemnity Agreement. Please type your first and last name below. Signature Date mm-dd-yyyy Please read and print for your records: Show Low Main Street Rules and Regulations I acknowledge that I have read and will follow the Show Low Main Street Farmers Market and Art Walk Rules and Regulations. Payment Information PLEASE NOTE: Your space will not be reserved until payment has been received. Please select how you will be paying your registration fee: Credit Card (PayPal)Check (Walk In)Check (By Mail) Payment Amount: Description: Click this button to submit application and go to PayPal to make payment.