Contact Name

Contact Number

Email Address

Emergency Contact Number

Organization/ Company

Socials

Address

City/Town

Province

Postal Code

Registering For: Registering For: Performer Food Vendor Other Vendor/Artisan

Group Name

LIst food items you will sell.

LIst items you will sell at the Festival

Do you have Food Handler Certification?

How many people in your group?

Type of Perfomance

Brief Biography

Waiver:

I understand that in order to maintain an environment that is safe, inclusive and positive for all participants, Fuerza Latina Community Services reserves the right to dismiss a participant for any behaviour deemed as unacceptable. I understand that in order to maintain an environment that is safe, inclusive and positive for all participants, Fuerza Latina Community Services reserves the right to dismiss a participant for any behaviour deemed as unacceptable. Yes

I understand that I/my child/ward should not attempt to take part in any activity with which they are not familiar, without first receiving instructions. I also agree that I /my child/ward must abide by any policies of Fuerza Latina Community Services concerning the use and operation of its facilities. I understand that I/my child/ward should not attempt to take part in any activity with which they are not familiar, without first receiving instructions. I also agree that I /my child/ward must abide by any policies of Fuerza Latina Community Services concerning the use and operation of its facilities. Yes

I hereby release Fuerza Latina Community Services and its employees, servants and agents from any and all claims whatsoever, which may be caused by, or arise from my/ my child/ward’s participation in any and all activities and events online and in-person organized or sponsored by Fuerza Latina Community Services; except where the damage or injury is caused by the negligence of Fuerza Latina Community Services or its agents, officers and employees acting within the scope of their duties. I hereby release Fuerza Latina Community Services and its employees, servants and agents from any and all claims whatsoever, which may be caused by, or arise from my/ my child/ward’s participation in any and all activities and events online and in-person organized or sponsored by Fuerza Latina Community Services; except where the damage or injury is caused by the negligence of Fuerza Latina Community Services or its agents, officers and employees acting within the scope of their duties. Yes

I further agree that I, the undersigned, have no knowledge of any physical illness, disability or other reason that could cause my / my child’s/ward’s participation to prove hazardous to my/their health. I understand that by signing this consent waiver, I am allowing myself / my child/ward to actively participate in the activity as outlined above. I further agree that I, the undersigned, have no knowledge of any physical illness, disability or other reason that could cause my / my child’s/ward’s participation to prove hazardous to my/their health. I understand that by signing this consent waiver, I am allowing myself / my child/ward to actively participate in the activity as outlined above. Yes

Photo Release Consent:

I understand that by signing this form, I consent that the video, photographs and/or film in which I appear may be used by Fuerza Latina Community Services, its assigns or successors, to promote Fuerza Latina Community Services events and programs. Furthermore, I hereby consent that such photographs, films and recordings made shall be their property, and they shall have the right to sell, duplicate, reproduce, and make other uses as they may desire free and clear of any claim whatever on my part. This photo release will be used for Photographs/videos taken at any event offered by Fuerza Latina Community Services. I understand that by signing this form, I consent that the video, photographs and/or film in which I appear may be used by Fuerza Latina Community Services, its assigns or successors, to promote Fuerza Latina Community Services events and programs. Furthermore, I hereby consent that such photographs, films and recordings made shall be their property, and they shall have the right to sell, duplicate, reproduce, and make other uses as they may desire free and clear of any claim whatever on my part. This photo release will be used for Photographs/videos taken at any event offered by Fuerza Latina Community Services. Yes