Vendor Intake & Agreement Form

Vendor Intake & Agreement Form

Complete this application to be considered for vendor partnership with Millers Jump Time Entertainment. All sections, required documents, and acknowledgments must be completed in full. Submission does not guarantee approval. Only qualified, insured, and professional vendors will be accepted.
Vendor Information
Name*

First NameLast Name
Business Name *
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
What is your preferred method of contact?*

CallText/SMSEmail
How is your business structured? This should match the information provided on your W-9 form.*

Individual / Sole ProprietorLLCCorporationNon-profitOther
Website or Social Media Link
Instagram, Facebook, or website URL. Please provide a link where we can view your work, past events, or services.
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number. Required for safety purposes in case of an emergency during an event. Format: (000) 000-0000.
Service Area / City Question
What area do you mostly service?*
Ex: Orlando, St. Cloud, Kissimmee, Central Florida. Please list your main city or region you are willing to travel to for events.
What areas do you service?

Saint CloudOrlandoKissimmeeWinter GardenDavenportWindermereOther
Services Provided
Type of Service*

DJ/SoundFire JugglerBalloon ArtistStilt WalkerFoam Party ProviderMagicianFace PainterCatererFood TruckGolf CartsEvent CoordinatorMobile Petting ZooBartenderOther
Years of Professional Experience Experience should reflect real, paid event work in your field.*

0 – 1 year (New / Beginner)1 - 3 years3 - 5 years5 - 10 years10+ years (Highly Experienced)
By checking below, I acknowledge that I carry commercial liability insurance with minimum limits of $1,000,000 per occurrence and $2,000,000 aggregate, and that Millers Jump Time Entertainment LLC must be listed as an additional insured on my policy.*

I acknowledge and agree to the insurance requirements.
Brief description of your performance or service*
What are your typical rates or pricing structure?
Ex: $150/hour, $500 per event, package pricing, etc. Please include your standard pricing, minimums, travel fees, and any additional costs we should be aware of. Millers Jump Time Entertainment reserves the right to set final pricing presented to clients.
Required Documents Upload
Upload Valid Driver’s License or Government ID*

Please upload a clear and valid government-issued photo ID (Driver’s License or equivalent).This is required for identity verification and must match the name provided on your W-9 form.IDs must be current (not expired), clearly visible, and legible.Any discrepancies or invalid identification may result in denial or removal from our vendor network.
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Upload Completed W-9 Form*

Please upload your most recent and completed IRS Form W-9. This document is required for payment processing and tax reporting purposes.The name and Taxpayer Identification Number (TIN) must match your legal business or individual name.Forms must be signed and dated. Incomplete or outdated forms may delay approval.
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Upload Certificate of Insurance (COI)*

Please upload your current Certificate of Insurance (COI) showing active general liability coverage.Coverage must be a minimum of $1,000,000 per occurrence and valid for the dates of any scheduled events.Millers Jump Time Entertainment may request to be listed as an additionally insured party prior to any event.Expired, incomplete, or invalid certificates will result in denial or removal from our vendor network.
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Independent Contractor Agreement

By checking this box and submitting this form, I acknowledge, understand, and agree that this constitutes a legally binding agreement between myself and Millers Jump Time Entertainment. I further agree to the following terms:
Independent Contractor Status:
- I am an independent contractor and not an employee, partner, or agent of Millers Jump Time Entertainment. I am solely responsible for my own business operations, taxes, staff, and services.
- I acknowledge that Millers Jump Time Entertainment does not control the manner or means of my work and is not responsible for my performance or operations.
Indemnification:
- I agree to indemnify, defend, and hold harmless Millers Jump Time Entertainment, its owners, employees, contractors, and affiliates from any and all claims, liabilities, damages, losses, and expenses, INCLUDING ATTORNEYS’ FEES, arising out of or related to my services, actions, or omissions.
Non-Solicitation:
- I agree not to solicit or accept direct bookings from clients obtained through Millers Jump Time for a period of 12 months following the event.
- I agree not to bypass, circumvent, or interfere with Millers Jump Time Entertainment in order to work directly with referred clients.
Conduct and Professionalism:
- I agree to maintain professional conduct, abstain from drugs/alcohol during events, and represent the Millers Jump Time brand appropriately.
- I agree to maintain a high level of professionalism at all times, including appropriate attire, behavior, communication, and interaction with clients and guests. No drugs or alcohol are permitted while performing services.
- I agree to arrive on time and be fully prepared to perform all confirmed services. I understand that lateness, delays, or unpreparedness may result in removal from the event and financial responsibility for any resulting damages or client dissatisfaction.
Equipment Responsibility:
- I am solely responsible for the safety, setup, operation, and security of my equipment during events.
- Any equipment failure, malfunction, or inability to perform will be my sole responsibility.
Maintain Agreed Commerical Liability Insurance Requirements:
- I agree to maintain active insurance at all times and provide updated documentation upon request.
Cancellation and No-Show Policy:
- I understand that cancellations within 7 days of an event or no-shows may result in penalties, withheld payment, and potential removal from future events.
- I acknowledge that I may be held financially responsible for damages, cancellations, failure to perform, or any actions that negatively impact the client experience or the company’s reputation.
Payment Terms:
- I acknowledge that payment will be issued after successful job completion and may be reduced or withheld for performance issues, damages, or policy violations.
- I understand that Millers Jump Time Entertainment controls all pricing presented to clients and may include a markup or commission on vendor services.
- I agree that my payout for each event will be the agreed-upon vendor rate and is separate from the total amount charged to the client.
- I understand that Millers Jump Time Entertainment may retain a portion of the total booking amount as a service fee or commission.
- I agree not to disclose my payout rate, pricing structure, or internal business practices to clients or other vendors. I understand that all payments must be processed through Millers Jump Time Entertainment unless otherwise approved in writing.
- I agree that any attempt to bypass, undercut, or interfere with the company’s pricing, payment structure, or client relationships may result in immediate removal and financial liability.
Force Majeure:
- Neither party shall be liable for delays or failures due to events beyond reasonable control, including natural disasters, government actions, or other unforeseeable circumstances.
Termination:
- Millers Jump Time reserves the right to terminate this agreement at any time for any reason.
Policies and Timelines:
- I agree to follow all Millers Jump Time company policies and event timelines as communicated.
I acknowledge that my electronic signature and submission of this form constitutes my full agreement to these terms and is legally binding.
I have read the full vendor agreement above and understand this is a legally binding contract*

I agree, I have read the full vendor agreement above and understand this is a legally binding contract
Initials*
Signature
Printed Name*
Signature*
Date*

MonthDayYear
Date
Should be Empty:

Vendor Intake & Agreement Form

Vendor Information

Service Area / City Question

Services Provided

Required Documents Upload

Independent Contractor Agreement

Signature