Performer's Application
Important: Prior To Filing This Application Read All Participation Criteria.
The Juneteenth Celebration accepts performances based on positive content and family friendly presentations.
* Required
Group or Organizations Name
*
Your answer
Performer/Entertainment Size
*
Choose
Solo
Duo
3-5
Group
Type Performer/Entertainment
*
Select All That Apply
Cultural
Dancing
Religious
Singing
Ballet
Hip-Hop
Jazz
Modern
Rhythm & Blues
Rock
Soul
Tap
Drill Team
Historical Venettes
Martial Arts
Poetry
Story Telling
Workshop
Other:
Required
Products/Services to be Displayed
*
Your answer
Will there be any items, services or memberships for purchase
*
There are no charges from The Riverside Juneteenth Committee for this option.
Choose
Yes
No
Contact Person
*
Your answer
Telephone
*
Day
Your answer
Telephone
*
Evening
Your answer
Address
*
Physical
Your answer
City
*
Your answer
State
*
Choose
Select One
California
Zip Code
*
Your answer
Fax
Your answer
E-mail
*
Your answer
Web Site
Your answer
Will a vendor space be required
*
Standard area is 10x10. A tables and two chairs are provided at no charge upon request, as long as the request is made by the dead line.
Choose
No
Yes, without table and chairs
Yes, without table
Yes, without chairs
Yes, with table and two chairs
Please discribe the Performance:
*
Your answer
You must agree to defend, indemnify and hold harmless the Riverside Juneteenth Committee, the City of Riverside’s Department of Parks, Recreation, and Community Services, listed sponsors and their affliates, and/or any of the government agencies, co-sponsoring companies, as well as their agents, employees, assigns, chairs and co-chairs of this event, from and against all injuries, whether personal or real, claims, damages, losses, judgments, liabilities, expenses, and other costs including litigation costs and attorney’s fees arising out of, resulting from or in connection with any negligent act or omission by yourself or your employees or agents in providing services and/or goods at the Riverside Juneteenth Celebration.
By signing below, you also adhere to our Electronic Communication & Signature Policy giving consent to utilizing electronic communications, electronic records, and electronic signatures for documents. You also understand that your electronic signature is legally binding, and by signing the form, you hereby give your affirmative consent to provide electronic signatures as described herein. You further agree that you have provided us with a current e-mail address at which we may send electronic communications to you. To the fullest extent permitted by law, The Riverside Juneteenth Celebration Committee accepts e-signatures as legally binding and equivalent to handwritten signatures to signify an Agreement. This policy does not limit The Riverside Juneteenth Celebration Committee’s right or option to conduct a transaction on paper or in a non-electronic form, nor affect The Riverside Juneteenth Celebration Committee’s right or obligation to have documents be provided or made available on paper when required by applicable policies, laws or regulations.
Your answer
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