Vendor Registration Form

Vendor Name: ______

Contact Name: ______

Mailing Address: ______

City, State, Zip: ______

Phone: ______Website: ______

Email: ______

___ Vendor Space $35 non-refundable donation by 05/12/2017

___ I cannot participate, but would like to donate $______to The Jackson Project

___ Please add an additional donation of $______to my total for The Jackson Project

Total Amount: $______

Payment Information:

______Check (payable to The Jackson Project)

______Cash

______PayPal () – Please notify me (Jenna Wallace) if using PayPal

Signature: ______Date: ______

*Event is rain or shine. ALL VENDER SPACES ARE OUTDOORS

If this signed agreement and fees are not received by Friday, May 12, 2017, your vendor space will be forfeited. Spots are limited, so please return this form as soon as possible.

This represents an agreement between The Jackson Project and the above-named Party whereby the above named Party will provide a vendor presence at The Jackson Project 4thannual Soccer Tournament to be held on Saturday, May 27th and Sunday May 28th, 2017 from 10am – 5pm at Stampede Sports Arena in Southlake, TX. The agreement is for space allocated for both days, but each vender can determine if they shall do both days or just one. Unless otherwise stated, a 10 x 10 area will be designated and pre-assigned for each vendor. The above-named Party will arrive at Stampede Sports Arena on Saturday, May 27th with ample time to set up. Vendor is responsible for their own table, chairs and tent/canopy. All set up must be completed by 9:30 am. Displays should not be removed before 2 pm, and must be completely disassembled and removed no later than 5:30 pm each day.

Disclaimer: In consideration of this application and my participation in this event, I agree that neither I, my heirs, my executors, administrators, nor anyone else claiming a right on my behalf will file a lawsuit, action or administrative proceeding against The Jackson Project, The Jackson Project 4th Annual Soccer Tournament, Stampede Sports Arena, event officials and volunteers, event sponsors, event suppliers, and agents and employees of the foregoing parties, and waive, release, and discharge the foregoing parties and persons from any and all loss, liability, damages, or costs arising out of or related to my participation in this event, including but not limited to all claims arising out of the negligence or carelessness of any of the persons or parties named in this waiver.

Please indicate the days in which you plan to attend:

May 27th ______May 28th ______Both Days ______

Authorized Signature – Above-Named Party: ______

Print Name: ______Date: ______

Authorized Signature – The Jackson Project: ______

Print Name: ______Date: ______

______

Please send completed Vendor Agreement form along with payment to:

Mail: Jenna Wallace- The Jackson Project

309 Illinois Street

Rhome, TX 76078

Email:

Pickup: Jenna Wallace 817-726-4445

Questions: Please contact Jenna Wallace 817-726-4445