Youth Business Market Registration Form
Hello and thank you for your interest in the YouthBusiness Market! We are going to ask a few questions that you must fill out in order for participate in this amazing event.
First, Are you going to be registering to sell as an Individual or a Group?
*
As a Group
As an Individual
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Group Information
What is your Groups Name?
*
How many individuals are a participating?
*
Please Select
2
3
4
5
6
7
8
9
10
Please Enter the Name & Email of the individuals that are participating.
Name
Email
1
2
3
4
5
6
7
8
9
10
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Individuals Information
Youth Vendor First and Last Name
*
First Name
Last Name
Youth Vendors Age
*
Please Select
5
6
7
8
9
10
11
12
13
14
15
16
17
Youth Vendors School
*
Youth Vendors Grade Level
*
Please Select
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
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Parent / Guardian / Adult Supervisor's First & Last Name
*
First Name
Last Name
Parent / Guardian / Adult Supervisor's Phone Number
*
Please enter a valid phone number.
Parent / Guardian / Adult Supervisor's Email
*
Confirmation Email
Please re-enter your email
Youth's Parent / Guardian / Adult Supervisor's Home Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
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Tell us about what will you be selling at the Youth Business Market
Please note that items being sold must be handmade or produced by you. (Some exceptions may be made for certain collectibles)
What kind of items will you be selling?
*
Crafts
Food / Sweets
Collectibles
Services
Other
Can you give us a brief description of what it is your selling?
*
Please upload a picture of the item that you are selling
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Any Special Accommodations?
Allergies / Wheelchair Accessible / Sensory Needs
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Please Note: Adult has to be present at all times. The following is to be filled out and signed by the applicants Parent/Legal Guardian/Chaperone:
Please type in and sign the following:
Parent / Guardian / Chaperone Signature
Check to confirm that you understand that Adult has to be present at all times. The following is to be filled out and signed by the applicants Parent/Legal Guardian/Chaperone: and that you have signed
*
Yes
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RELEASE AND HOLD HARMLESS AGREEMENT
In consideration of the permission extended to me by County of Putnam to go on, on and about its land and/or premises.
Please type in and sign the following: PART I
PART II
PART III
Release and Hold Harmless: Parent / Guardian / Chaperone Signature
Check to confirm that you understand RELEASE AND HOLD HARMLESS AGREEMENT and that you have signed
*
Yes
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Photo Release
Please Read and Sign Photo Release
Photo Release: Parent / Guardian / Chaperone Signature
Check to confirm that you understand the Photo Release and that you have signed
*
Yes
Submit
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