Community Safety Fair Vendor Form
Please complete the following information to register to be a vendor at the September 7th Community Safety Fair in partnership with Bright Futures - Frederick/Winchester and Frederick County Sheriff's Office. Spaces will be on a first come first serve basis. All efforts will be made to prevent duplication of services/business. Your space will not be confirmed until your $20.00 donation is received by the Bright Futures office.  
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Email *
Food Type of Vendor *
Required
Name of Person Completing Form: *
Name of Group/Company/Business *
Address: *
Primary Phone Number:
Cell Phone Number: (that can be used day of event) *
Email Address: *
Description or Name of Product Selling: (if selling product)
Community Service Providing: (if providing community service)
Person who will be responsible for your booth the day of the sale - if other than yourself:
Each space is approx 2 parking places - how many spaces do you need ($20.00 donation per space) *
How did you find out about our event *
Any additional information you think we need?
Assumption of risk agreement *
Acknowledgement, Indemnification, Hold harmless, Assumption of Risk, Waiver and Release
In consideration of my participation in the_______________________ (hereinafter referred to as “EVENT”), I do hereby agree to indemnify, defend and hold harmless Frederick County Public Schools, its Board, officers, agents, employees, and volunteers (hereinafter collectively referred to as “Schools”) from any claims, liabilities, judgments, damages, awards, fines, costs, expenses dangers, and actions of any kind or nature, whether at law or in equity (collectively, “Liabilities”), arising from my participation in the EVENT. I understand that I could possibly be physically injured while participating in this EVENT and I accept the risks that arise out of my presence including, but not limited to the following: contact with other people, trips and/or falls, choking, and allergic reactions. I recognize that there are many other risks of injury including but not limited to contracting COVID-19, contusions, abrasions, cuts, tendonitis, strains, pulls, sprains, tears, bursitis, puncture wounds, fractures, dislocations, concussions, delayed muscle soreness, serious eye damage, serious and disabling injuries or even death, which may arise due to my participation in the EVENT, and that it is not possible to specifically list each and every individual injury risk. By signing this form I desire, consent and voluntarily choose to participate in this EVENT. Knowing the material risks and reasonably anticipating that other injuries and death are a possibility, I assume all the risks normally incident to the nature of the activities and agree that Schools will not be responsible for any damages or injuries to me, or for any other Liabilities in connection with my participation in the EVENT. I hereby give permission for Schools and/or staff to seek appropriate medical attention for me should I be unable to authorize it myself. Also, I understand that any injury incurred and the resulting medical expense will be my responsibility and Schools will not be responsible for any related expenses.

By voluntarily participating in the EVENT after having been advised of the potential hazards of this, I hereby WAIVE AND RELEASE all demands and claims, or other Liabilities, whether in law or in equity, that I, my heirs, next of kin, and representatives might otherwise have against Schools for any injuries, disabilities, death, property damage or losses and expenses of any nature whatsoever, resulting from my participation in this EVENT; and I covenant not to commence legal action against Schools for the same. I understand that absent the waivers and releases contained in this documents, Schools would not be willing to permit my participation in the EVENT.
Signature *
Please know your space will not be secured until your $20.00 non-refundable donation is received in the office.
If completing application online - your non-refundable donation can be made using the following link -

https://www.myschoolbucks.com/ver2/stores/checkout/getproduct?clientKey=ZZHH96FCNG04B07&buttonID=5eef42c5-a538-4104-9eeb-2948917ca09f .

You will be asked to give your name - please place the words "2024 Vendor" after your name to ensure it is recorded appropriately.

If you prefer to mail a check, please send it to Bright Futures - Frederick/Winchester, 178 Indian Hollow Road, Winchester VA 22603.
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