Autumn Equinox Celebration Participant Form

Please complete this form and submit it as soon as possible to be included in upcoming promotions. Deadline to submit form is Monday, September 16. Don't forget to email a copy of your insurance certificate to Laurel or let us know if you don't have one. Thank you!

Business Name*

Contact Person Name*

First Last

Best Phone Number to Reach You*

Email*

Enter Email Confirm Email

Event Personnel (limit is 3 people)

Please let us know what you will be serving at the event.

We do our best to make this a green event and reduce waste. All attendees will have a reusable glass, plate and fork. Please only bring recyclable items to serve beverages, soups or desserts.

If you want to donate something to support the fundraiser but are unable to attend this year:

Please describe the salad, dessert, beer or wine you will provide for us to showcase at the event. Include contact information so we can arrange pick up on Friday, Sept. 20.

If you have any requests or questions, please note them here.

Would you like to donate a gift card or wine for our raffle? If yes, please enter description and approximate value. Please bring your raffle item to Callie at the Soil Born Farms booth when you arrive.

Yes
No

Raffle Donation Description

Raffle Donation Approximate Value

Do You Have an Insurance Certificate?

Yes
No

If you have an insurance certificate, please submit a copy of it (PDF or JPEG) either by uploading using the following button or email directly to lsmith@soilborn.org.

Liability insurance requirements: Every booth holder must maintain no less than the following insurance during the event: Commercial General Liability: $1,000,000 combined single limit per occurrence for bodily injury, personal injury and property damage. $2,000,000 aggregate.

Upload Insurance Certficate (PDF or JPEG)

Max. file size: 2 MB.

Name

This field is for validation purposes and should be left unchanged.