Health Fair Vendor Interest Form

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Davis Street will provide 1 table, 2 chairs and a canopy for each booth. Will you need more than that?*

RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT

Between applicant and Davis Street Community Center for the 6th Annual Health Fair

I shall indemnify and hold harmless Davis Street Family Resource Center, its officials, employees, from and against all claims, actions, suits, damages, losses and expenses, including but not limited to attorney’s fees, arising out of or resulting from the use of the building/premises, sustained by any person or persons, provided that any such claim, damage, loss or expense is attributable to bodily injury, sickness, disease or death, or to injury to or destruction of property caused by the tortuous act or negligent act or omission of (name of individual/organization/group/sponsor), its employees, agents, or subcontractors.

TERMS AND CONDITIONS: I will be financially responsible for any and all damages to the building/contents/premises that results from its use of the facility, including property damage, structural damage, and personal injury by (name of individual/organization/group/sponsor), its employees, agents, guests or subcontractors which occur in the course of use of the building/premises.

BUILDING/PREMISES. Smoking within the building and on the premises is strictly prohibited. The undersigned have carefully read, understand and agree to the terms of this Agreement, and further agrees that no oral representations, statements or inducements have been made.

PHOTO RELEASE: I grant THE DAVIS STREET COMMUNITY CENTER and its representatives and employees the right to take photographs of me and my property in connection with the work of THE DAVIS STREET COMMUNITY CENTER. I also authorize DAVIS STREET COMMUNITY CENTER and its assigns and transferees the right to copyright, use and publish the same in print and/or electronically. I agree that DAVIS STREET COMMUNITY CENTER may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.

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