Friends of Red Clay State Historic Park P O Box 63, Cohutta, GA 30710 423-478-0339 Email: [email protected] www.FriendsofRedClay.org APPLICATION FORM FOR THE RED CLAY POW WOW AT RED CLAY STATE HISTORIC PARK, CLEVELAND, TN OCTOBER 28 & 29, 2017 (SCHOOL DAY 27th) PRIMARY CONTACT: TAMMERA HICKS 423-240-7270 or [email protected] APPLICATIONS AND FEE MUST BE IN BEFORE OCTOBER 10---NO FEE NO SET-UP ******************************************************************* VENDOR INFORMATION – PLEASE PRINT Booth size requested (see pricing below): 10X10 ______ 10X20 ______ Larger ______ Food Vendor Only ________ NAME: ____________________________________________________________________________________________________ DBA: ____________________________________________________________________________________________________ Address: _________________________________________________________________________________________________ _________________________________________________________________________________________________ Phone Number(s): Primary ___________________________ Alternate: _________________________________ Email: _____________________________________________________ Give a brief Description of your booth and items you plan on selling. (Please use back of application if more room is needed.) _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ Please provide pictures of your booth (if available) with your application. Thank you. REQUEST AND AGREEMENT OF APPLICANT: This is my request to the Friends of Red Clay that I be approved as a Vendor to provide food, goods or services described above. I request that they accept this application. I will pay a Vendor Fee in the amount as follows: VENDOR FEES: (10X10 $100) (10X20 $125.00) ( LARGER $200.00 ) (FOOD VENDOR ONLY $200.00 + PERMIT) MAKE CHECKS/MONEY ORDERS PAYABLE TO: FRIENDS OF RED CLAY MAIL TO: NASERVICES, P O BOX 8355, CHATTANOOGA, TN 37414 I agree to the following terms and conditions: 1. The Red Clay Pow Wow is an outdoor event and I fully accept and assume all risks and responsibility for losses, costs & damages that may occur as a result of major inclement weather. 2. I hereby release and hold harmless the Friends of Red Clay and Red Clay State Historic Park and all other respective agents, employees, members or representatives (collectively, the “Released Parties”) from and against any loss, damage, theft, personal injury or injury to property that I may suffer as a result of my participation in the event as a Vendor, attendee and/or participant including, without limitation, any loss due to the acts or negligence of any event participant or patron. 3. I agree to indemnify and hold harmless the Released parties from and against any loss they may suffer as a result of my negligence or actions as a Vendor at the event. 4. I agree to maintain and keep my assigned site in a clean, safe and orderly fashion during the event and to leave my site in the same condition as it was in at the time I first occupied it. I agree to park my vehicles in the provided area by the Park. 5. I agree that my Vendor Fee, once received by Friends of Red Clay, is non-refundable. This Vendor Application is submitted by the undersigned on the date below. By signing this Application, I acknowledge and accept all of the terms and conditions set forth above. PRINT NAME: __________________________________________ DATE:_______________ SIGNATURE: ____________________________________________________________ NOTE THE FOLLOWING INFORMATION: Self-Contained RV’s Camping is allowed at site, Tent camping allowed also –FREE Parking Electricity in the Visitor Center Restrooms only. NO showers HOST MOTEL: Quality Inn, 153 James Asbury Dr NW, Cleveland, TN 37312 (423) 478-5265 Other Host Motel: Applegate Inn, 1857 APD 40, Cleveland, TN 423-479-9915
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