Vendor Registration

Name*

First NameLast Name

Business Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Format: (000) 000-0000.

Email*

example@example.com

Bubble Party: July 23rd 5:30pm-7pm OUTDOOR EVENTSBack to School Bubble Party: August 20th 5:30-7pm OUTDOOR EVENTLaser Tag with Becker PD Community Event: July 15th 5-8pm OUTDOOR EVENT: Food trucks/vendors wanted, booths with games from groups, nonprofits, businesses, etc. (FEE may apply to anyone who is not a nonprofit.)OTHER not listed

I AGREESELLING GOODS/ITEMS

YESNO

I AGREE

IMPORTANT

It is your responsibility to bring all equipment and supplies (tables, chairs, canopies, extension cords, etc) you will need to operate your business on event day(s). In most cases, we do not have access to electicity in the event area; you will need to provide your own generator if you need electricity to run your business/booth.

If you cannot make an event, please be sure to give adequate notice.

Type of Food/Goods Vendor (trailor, tent, tables, etc):*

Space Requirements (length and width of space needed):*

Event Set Up

Detailed description of items available for sale (must be completed to participate in sale).*

There will not be duplicate vendors, ex) Usborne books, Color Street, etc. These types of vendors will be on a first come, first serve basis.

Disclaimer: I agree to indemnify the Becker Community Center, the City of Becker, and/or anyone connected with the event; and hold them harmless against all actions, claims, liabilities, losses, costs and expenses which in any way may arise in connection with, or resulting from, this event, sponsored by the Becker Community Center; including claims for bodily injury or death of persons, and for loss or damage to property, whether the same be to negligent acts or omission of this organization, their agents, employees or otherwise.

I agree that any videos and pictures taken at the event will be used for marketing.

I have read the attached and understand the policies.

Signature*

Date*