A Day on the Farm May 20, 2018 10am-3pm
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Please review details and complete and submit this application below before May 9, 2018. Space is limited, don't delay! You will receive a confirmation from Rebecca Le once your application has been approved. For more information: rle@soilborn.org or 916-363-9685 X 1015.
Email address *
• Please provide your own tables, tent (10’x10’) & chairs.
• Tables must include an interactive or learning display.
• We encourage you to drop off your supplies & materials the day before on Saturday, May 19 from 9 AM to 3:00 PM.
• A Day on the Farm is held at 2140 Chase Drive, Rancho Cordova, right next to Hagan Park.
Once your application has been approved you will receive additional details about parking, set up, breakdown, etc.
Community Education Table Application
Contact Name
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Organization Name
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Organization Description
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Mailing Address
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Phone Number
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Check one
Payments can be made online or by check. Checks can be sent to Soil Born Farms, P.O. Box 661175, Sacramento, CA 95866* For-profit businesses, please do not submit payment with your initial application as we cannot guarantee that we will have space for all.
Please list the names of staff attending (no more than 3):
Your answer
Describe your activity (interactive booths or samples):
Your answer
Liability Insurance Requirements
Please provide a Certificate of Insurance listing Soil Born Farm Urban Agriculture Project as an additional insured. The certificate must be received no later than May 9, 2018 via email (rle@soilborn.org), fax (916-363-9686) or mail to Soil Born Farms, P.O. Box 661175, Sacramento, CA 95866.

Liability insurance requirements: Every booth holder must maintain no less than the following insurance during the event: Commercial General Liability: $1,000,000 combined single limit per occurrence for bodily injury, personal injury and property damage. $2,000,000 aggregate.

A copy of your responses will be emailed to the address you provided.
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