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Little Cousin Jasper Festival, Inc.
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| Name: | ______________________________________________ | |
| Phone: | _____________________ | |
| Address: | ______________________________________________ | |
| ______________________________________________ | ||
| Name of Organization:
_____________________________ if applicable |
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| Define Special Need: _________________________________ | ||
| _______________________________________________________ | ||
| Check One or More: Arts _____ Crafts _____ Informational _____ Games ____ |
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Water is available from the two fire hydrants on the South side of the Courthouse. Bring your own bucket! |
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| I agree that I will not hold the Festival Committe liable for loss, damage, or injury for my property during the course of the festival. | ||
| Insurance ID #: _______________________________________ Registered Retail Merchants Certificate #: ______________________________________________ |
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| The Festival Committee reserves the right to ask that any items which are determined to be detrimental to the festival be removed. | ||
Signed: |
______________________________________________ |
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| Date: | ____________________________ | |
Site Designed by Tina Vollmer
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