Entertainment Entertainers WANTED! To be considered, please complete the information below: You may complete and fax, email or mail the printable form instead. Please note: All fields are required Performer First Name: Performer Last Name: Performer Email: Performer Address: City: | State: Zip (required): Contact Number: Emergency Contact: Name: | Number: The performer agrees to furnish the Partnership with services under the following terms: 1. Type of Performance: 2. Date: Saturday, 09/16/2017 Performance Time: Arrival Time: Performance Length: 3. Place of Performance: Collar Park Gazebo 4a. Technical Requirements: 4b. Other Requirements: 5. Oral agreements cannot be honored and are superceded by this written contract; additional terms and conditions must be in writing, attached to this contract and signed by all parties; any modifications must be initialed and dated by both parties. 6. Performers are responsible for their equipment, personal property, and the actions of their employees. 7. Performers shall maintain insurance at appropriate levels. 8. Performers agree to abide by THE PARTNERSHIP terms and conditions. 9. This contract is subject to the Participant Terms and Conditions of Attendance and Participation. LIABILITY RELEASE FORM Yes, I HEREBY RELEASE THE PARTNERSHIP AND ITS AFFILIATES FROM THE RESPONSIBILITY FOR ANY ILLNESS, INJURY OR PERSONAL PROPERTY DAMAGE WHICH MAY BE SUSTAINED WHILE PARTICIPATING IN ANY OF THE EVENTS ASSOCIATED WITH WELLNESS DAY. BY SIGNING BELOW, I AM AFFIRMING THAT I AM AT LEAST 18 YEARS OLD, HAVE READ THIS DOCUMENT AND UNDERSTAND ITS CONTENTS. FURTHER, I HEREBY GRANT FULL PERMISSION TO USE MY NAME AND ANY PHOTOGRAPHS OR OTHER RECORD OF MY PARTICIPATION IN THIS EVENT FOR PUBLICITY AND/OR PROMOTIONAL PURPOSES WITHOUT OBLIGATION OR LIABILITY. ALL PARTICIPANTS MUST READ THE TERMS AND CONDITIONS ON-LINE AT WWW.WELLNESSDAYSOUTHCOBB.COM. AS A VENDOR OR OTHER PARTICIPATION FOR THE JOINING HANDS IN WELLNESS DAY EVENT, BY COMPLETING AND SUBMITTING APPLICATIONS OR FORMS, OR BY PARTICIPATING IN THE JOINING HANDS IN WELLNESS DAY EVENT, PARTICIPANTS ARE ACKNOWLEDGING AND AGREEING TO BE BOUND BY THE WELLNESS DAY TERMS AND CONDITIONS. ELECTRONIC SUBMISSIONS AND ELECTRONIC SIGNATURES WILL BE CONSIDERED ACCEPTANCE OF THE TERMS AND CONDITIONS. BY COMPLETING AND SUBMITTING APPLICATIONS OR FORMS, OR BY PARTICIPATING IN THE EVENT, PARTICIPANTS ARE AGREEING TO THE USE OF THEIR E-MAIL ADDRESSES BY THE PARTNERSHIP FOR THE PURPOSE OF E-MAIL NEWSLETTERS AND OTHER NOTIFICATIONS. Disclaimer: This is NOT a fundraiser. Collected fees are applied to event expenses, Thank You!