Youth Business Market Registration Form

Youth Business Market Registration Form

Hello and thank you for your interest in the Youth Business Market! We are going to ask a few questions that you must fill out in order for participate in this amazing event.
PLEASE NOTE, YOU MUST COMPLETE THE REGISTRATION AND MAKE A PAYMENT IN ORDER TO BE APPROVED.
First, Are you going to be registering to sell as an Individual or a Group?*

As a GroupAs an Individual

Please Enter the Name & Email of the individuals that are participating.

Parent / Guardian / Adult Supervisor's First & Last Name *

First NameLast Name
Parent / Guardian / Adult Supervisor's Phone Number*
Please enter a valid phone number.
Parent / Guardian / Adult Supervisor's Email*

Confirmation EmailPlease re-enter your email
Youth's Parent / Guardian / Adult Supervisor's Home Address*

Street Address

Street Address Line 2

CityState

Zip Code

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?*

CraftsCollectiblesServicesFood / Baked GoodsFood / BeveragesFood / CandyFood / Other
Can you give us a detailed description of what it is your selling? Please be specific.*
Any Special Accommodations?
Allergies / Wheelchair Accessible / Sensory Needs

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

Clear
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

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

Clear
Check to confirm that you understand RELEASE AND HOLD HARMLESS AGREEMENT and that you have signed*

Yes

Photo Release
Please Read and Sign Photo Release
Photo Release: Parent / Guardian / Chaperone Signature

Clear
Check to confirm that you understand the Photo Release and that you have signed*

Yes

Once your registration is submitted, you will be redirected to make your non-refundable payment of $5.00 to the Friends of Putnam Child Advocacy Center (CAC) for the Youth Business Market which will reserve your booth for the day of the event.
YOU MUST PAY IN ORDER FOR YOUR REGISTRATION TO BE APPROVED.
Check to confirm that you understand the payment process

Yes
Should be Empty:

PLEASE NOTE, YOU MUST COMPLETE THE REGISTRATION AND MAKE A PAYMENT IN ORDER TO BE APPROVED.