HOLLYWOOD VOLUNTEER RESCUE SQUAD

HOLLYWOOD BLUEGRASS FESTIVAL

TABLE/DISPLAY SPACE REGISTRATION FORM

ST. MARY’S COUNTY FAIRGROUNDS

SATURDAY, MAY 13, 2017

Hollywood Bluegrass Festival will be held outside rain or shine with gates opening at 11 a.m. and music from noon to 8 p.m.

Please indicate below what you wish to rent:

10’ X 10’ Space with Table ($35 each) Yes______How Many Tables? ______

10’ X 10’ Space only (No Table) ($30 each) Yes______How Many Spaces? ______

Do you require chair(s) (Limit of two) Yes______How Many Chairs? ______

Do you require an electrical outlet* (No Charge) Yes______

*NOTE: There is no guarantee that electric access will be available to you. Electric is only available on designated poles along walkways. Electric access is limited and is assigned on a first come basis. HVRS does not furnish cords for hookup to electrical outlets.

Please print all information requested below:

Type of Crafts or Product: ______

Name: ______

Address: ______

City: ______State: ______Zip Code: ______

Phone: Home ______Work ______Cell ______

Email Address: ______

No space is guaranteed for 2017 unless your registration form and full fee payment are submitted by Friday, April 13, 2017. Set-up time will be 7:30 a.m. to 10:30 a.m.

++ Craft/Vendor Show Registration is non-transferable. Vendor Parking will be in an assigned area.

HVRS RESERVES THE RIGHT TO LIMIT THE NUMBER OF TABLES/SPACES PER CRAFTER/ VENDOR

Waiver on Back: (MUST BE SIGNED)

HOLLYWOOD BLUEGRASS FESTIVAL

HOLLYWOOD VOLUNTEER RESCUE SQUAD

WAIVER:

As a participant in the Hollywood Bluegrass Festival, it is understood that I/we the undersigned or any member of my/our party will not hold the Hollywood Volunteer Rescue Squad, or any person working with the Hollywood Bluegrass Festival, responsible for any personal injury, damage to or theft of any property, nor will I/we be a party to any legal action taken against them. I/we, the undersigned, agree to abide by the guidelines set forth by this Hollywood Bluegrass Festival Committee.

Signature(s): ______

Please make check or money order payable to the Hollywood Volunteer Rescue Squad.

Please mail to:

Hollywood Volunteer Rescue Squad

P. O. Box 79

Hollywood, Maryland 20636

Attn: Bluegrass

Completed, signed Registration Form and check or money order must be received prior to April 13, 2017

Signed: ______

Chairman – HVRS

Hollywood Volunteer Rescue Squad to complete this section

Name ______Amount Paid ______Date Paid ______

Cash ______Check # ______Money Order # ______

Table # or Space # Assigned ______