Required Waiver of Liability and Release I, the undersigned, acknowledge that my participation in the 2019 Garage Birthday Bash is voluntary and I assume all risk of bodily injury, property damage, and personal damage that may occur by participating in the 2019 Garage Birthday Bash and, for myself/ourselves, heirs, executors, and administrators, do hereby forever waive and release any and all claims against and agree to hold harmless The Garage CMM LLC, their officers and directors, the City of Fort Stockton, and all other groups connected with this event. Further, I hereby consent to allow my picture or likeness to appear in any official document, news release, sponsor advertisement and/or television and radio coverage of the events within or as part of the 2019 Garage Birthday Bash, and grant permission to use and/or publish photographic portraits, or pictures, and video of me in which I may be included in whole, part, composite or reproductions thereof in black and white and/or color or otherwise made through any media now known, for art, advertising trade or any other similar lawful purposes whatsoever, including the publicity and promotion of this event itself. Food vendors MUST obtain permits from the City of Fort Stockton.

Print name___________________________________ Signature______________________________________

Date________________________________________ Mail or deliver entry form to The Garage, 1110 N Main St, Fort Stockton, TX 79735

Questions? Call The Garage (432) 701-0588, or visit thegaragetx.com/event/2019-bash/

OFFICIAL USE ONLY

Registration order__________ Received by__________________ Date_____________

Name_______________________________________________________________

Mailing Address____________________________________________________

City, State, ZIP_____________________________________________________

Phone______________________________________◻Home ◻Work ◻Mobile

Email Address______________________________________________________

Booth name/company name__________________________________________ SPECIFIC items to be sold (only one vendor of any item is allowed. If another has registered first for a product or service, you will not be allowed to sell that product or service. You will be notified if another vendor has registered for the same item before you)

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_______________________________________________________________________________ Vendors MUST have a special event 1 day permit issued by the City of Fort Stockton. You will be required to have your permit at your booth/trailer on

September 7, and provide us a copy of the permit BEFORE 9/1/19. Contact City Hall  - 121 W 2nd St, Fort Stockton, (432) 336-8525 for permits Vendors must commit to donating 5% of their sales to

combat veterans at the end of the day

2019 Garage Birthday Bash 9/7/19 Vendor Registration SUBMISSION OF FORM DOES NOT GUARANTEE SPACE!

After submitting wait for official confirmation before obtaining your permit