2018 NEW Farmer Application Form

2018 NEW Farmer Application Form
Are you a NEW Farmer? New Farmers have not been accepted in or sold at one of our three managed markets (Copley, Central, Davis) in 2017. You must have have no outstanding balance due MFM at time of application and not violated market rules if a past participant at a MFM Managed Market. MFM wlll confirm your status after reviewing your application. *

Yes No
NEW Farmer applications are due on or before MARCH 14, 2018.
SECTION I: Registration

To be considered for MFM managed markets, you must be an MFM member.
Are you already an MFM member? *

Yes No
If No, please select one of the payment options below to send the membership fee of $75.
Farm Owner Name *

Farm Owner Mailing Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Farm Name *

Farm Address (if different from owner mailing address) *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

- Area Code Phone Number
Email *
example@example.com
Business Website
Do you have a roadside stand?

Yes No
Membership Payment Options:
Would you like to pay electronically? If Yes, then an invoice will be sent to you with an electronic payment option.

Yes No
If you would like to pay by check, please send a check to:

MFM, 240 Beaver St., Waltham, MA 02452

SECTION II: Application for Participation in MFM Managed Market(s)

Please note: this application and all requirements and deadlines contained herein, are part of managed market policy (hereafter "policy"), which constitutes the sole agreement between you and MFM relating to your participation at MFM managed markets.

To apply for participation as a farmer at any of our managed markets, please carefully read and complete the rest of this application. Sign where indicated, and send the requested items to staff@massfarmersmarkets.org. Applications are not complete until all required documents are received by MFM.
Please send the following required items to staff@massfarmersmarkets.org.

1. LIST OF PRODUCTS: Please check off your full list of products in the application below. Any items not checked off or included in the products form are inherently not approved and can only be added after your acceptance by approval of MFM at its sole discretion. To get MFM approval you must request additions at least two weeks prior to bringing products to receive written approval from MFM staff.

2. HEALTH PERMIT: A copy of the health permit from the health department of your town or city for any processed foods (baked goods, jams, meats, cheeses, etc.) you intend to sell at market.

3. CERTIFICATE OF LIABILITY INSURANCE: A copy of your $1,000,000 minimum coverage general comprehensive liability policy which will cover you at the market site(s) to which you apply on this application.

4. FOR MEAT FARMERS: A diagram, map, plot plan or NRCS map of open pastures and areas where animals are raised, including where each livestock graze.

5. FOR PRODUCE FARMERS: A diagram, map, plot plan or NRCS map of all fields, orchards, greenhouses, and other properties used for production of goods to be offered at farmers markets indicating planned location of crops or processing for the year 2018 and approximate acres of each crop per site. Please notify MFM of changes in your diagram, if and when they occur.
Please complete the following information:
I certify that this is a: *

For-profit farm Non-profit farm
List farm address(es): Include all locations used for production of goods you intend to offer at MFM farmers markets including land owner's name, complete address (P.O. Boxes not acceptable), and number of acres at each location. Write N/A if not applicable.
Total acres owned *
Locations of total acres owned *
Total acres rented or leased *
Locations of total acres rented or leased *
Do you have social media? If so, please list which platforms and the handles for them.
What other market(s) do you plan to attend? (N/A if not applicable) *

For LIVESTOCK FARMERS (meat and/or dairy) only
Veterinarian
Feed/Nutrition supplier(s)
Any person with whom a boarding agreement exists, and the nature of the agreement (whether you are boarding, or they are boarding for you)
Slaughterhouse(s) used
Name of all hatcheries

Agreement and Understanding of Application:

1. INFORMATION PROVIDED: With regard to this application, I certify that all information provided is true to the best of my knowledge and belief. I understand that I am responsible for updating the information provided as necessary, and supplying any pending information in a timely manner. I understand that my participation in the market(s) I have applied for is contingent on my review and acceptance of the Managed Market Policy, and of the Specific Market Rules, Hereinafter "RULES" of the market(s) in which I have been accepted. I understand that the Acceptance letter(s) will contain the "RULES" and will be emailed to me by MFM no later than MARCH 28, 2018.

B. PENALTIES: I have read and understand POLICY and this application in its entirety, and I understand that if I do not abide by Policy then I am subject to the terms and penalties of Policy. I understand that a complete application is due by MARCH 14, 2018 and if I am placed at an MFM managed market, that my signed acceptance and required deposit are due by APRIL 11, 2018. I understand that in the event I do not submit a complete application by MARCH 14, 2018, or I do not return my signed acceptance and deposit by APRIL 11, 2018, I will forfeit my acceptance.

C. MANAGEMENT: With regard to the management of the farmers market, I understand that the Market Manager is the official representative of the MFM Managed Market, and that under the provisions of Massachusetts General Laws, Chapter 40, the Market Manager is authorized to enforce POLICY and any items addressed within the RULES as set forth in Section 5 and 9, I further understand that the Market Manager of MFM- Managed Markets operates under the supervision and direction of the Executive Director,(ED) of Mass Farmers Markets, of which I am a member.

D. FARM INSPECTIONS AND PRODUCT INSPECTIONS: With regard to farm inspections and product inspections, I agree that in the event that a grievance is filed against me by a farmer or Market Manager, or the MFM ED chooses to make a farm inspection , that I will adhere to all of the terms and conditions provided in POLICY in regards to those inspections. I further agree that I will make myself personally available to, and make my farm accessible in its entirety, for the MFM ED and/or his/her designees to conduct appropriate inspections. I agree that I will arrange to be available with no distractions for a minimum of four (4) hours and in full daylight. I understand that if I show anunwillingness to abide by these terms and conditions, at any time during the inspection process, my actions will result in a determination of a violation and I will be subject to the appropriate penalties described in Policy.

F. INDEMNIFICATION: I hereby agree that I will indemnify and hold harmless Mass Farmers Markets (a/k/a Massachusetts Federation of Farmers’ & Gardeners’ Markets, Inc.), the members of its Board of Directors, the Executive Director, all agents, and/or employees of MFM from any and all claims and liabilities arising or allegedly arising from my negligent or intentional conduct. I understand that this means that I will be responsible for reimbursing the above organization and individuals for any judgment against them, any settlement made by them in good faith, and any attorney’s fees incurred by them in defending or settling any claim against them, which arises or allegedly arises as the result of my negligent or intentional conduct.

E. PAYMENTS FOR MARKET FEES: I understand that I am responsible for making Market Fee payments on or before the schedule outlined in Policy, General Rules, Section 5, number VIII: General Payment Schedule. I understand that in the event payments are not made according to Policy, I will not be allowed to attend the market until such payments are made. I understand that in the event that I choose to stop attending the market, my fees are calculated on a prorated basis plus an administrative charge of (one hundred)$100.00. I further understand that in the case of payments by check, payments are considered pending until the transfer of funds is verified, and that if my check does not clear I will pay an additional thirty-five ($35.00) Dollars to cover bank fees, and additional administrative time.

G. WAIVER: By submitting this application I hereby agree to comply with the Rules and Policy in all respects. I further agree to abide by the decisions of MFM, its officers, directors, agents and/or employees regarding the interpretation and enforcement of any provision of the Rules and/or of Policy. I specifically understand that, in consideration for processing my application, I waive any and all rights to pursue any civil or criminal process against MFM, its officers, directors, agents and/or employees as relates to any decisions and/or action taken in interpreting or enforcing the Rules or Policy by MFM, its officers, directors, agents and/or employees. I understand that by submitting this application, I am waiving legal rights that I may have as described above, and I do so voluntarily.

H. SEVERANCE: If any provision of the Rules or Policy on this application is at any time deemed to be void or unenforceable by a court of competent jurisdiction, the remaining provisions shall not thereby be affected.

I. ACCEPTANCE OF APPLICATION: I understand that my application will NOT be considered without my submission of a complete application, membership dues, and my signature below, acknowledging that I have read and agree to the terms of this application and POLICY, REGARDLESS of previous years participation at any market. I understand that I may apply for as many markets as I wish on this one (1) form. Each market I apply for on this form will be considered separately; acceptance of my application for each market is independent from any other market applied for. Any additional information that I wish to furnish for a specific market may be provided on a seperate piece of paper supplied by me.
Agreement to Terms *

I have read the above and agree to the terms of the MFM managed market(s)
By clicking the button below, I am signing the 2018 MFM Farmer Application, and I am certifying that all information I have provided is true and accurate, and that it is signed under the pains of perjury. *

Signature of Application
Please print your name here *
Your application is not complete until you have filled out the Product Availability List on the next page. Please check off the boxes for the products you will offer and list in detail the products you will be bringing to the market. If you do not see your product listed you may type it into the Other category at the end of the list. Once you have completed the list, please hit the "Submit" button to send your completed application to MFM.