Farm Worker Day 2009
August 30, 2009
11:00pm - 6:00pm
Hawthorne Park, Medford
Application for all Participants
Name of Organization: __________________________________________
Contact Person:__________________________ Phone____________________
Address: _______________________________________________
Type of Entry: All entries are required to donate an item for the raffle.
□ Non-Profit (No Fee.) Type of Service ___________________________________
□ Commercial ($35 fee) (To be paid before the event) Commercial booths are limited to distribution of information about goods or services. No actual sales may occur at the event. Type of business ___________________________________
Each application will be reviewed by the organizing team. The team reserves the right to deny participation of groups or individuals.
Please read and sign below
Farm Worker Day Participation Agreement
WAIVER:
The undersigned voluntarily chooses to participate in the Farm Worker Day event. The undersigned therefore knowingly, freely and voluntarily assumes all risk of injury and waives any claim, rights, cause of action or demand for loss, damage, destruction or injury of any kind whatsoever, including but not limited to: cost, loss of service, expense or compensation known or unknown, now or in the future, arising out of the undersigned’s participation in the above-referenced activities, against NOWIA Unete, Center for Farm Worker Advocacy, Mano a Mano Family Center or CAUSA and all the officers, employees, agents and assigns thereof, respectively.
Return of this application shall be deemed acceptance of these provisions.
Signature __________________________________ Date __________________
Please return to Unete 607 W Main Medford, OR 97501
| Attachment | Size |
|---|---|
| FarmWorkerDayApplication.doc | 40.5 KB |