Form title

Name

Business Name

Business Description

Phone

Email Address

Event You'd Like to Attend

Date of Event

Do You Need Electricity?

YesNo

Lot Size

Liability Waiver (required)

I understand that participation as a vendor in a farmers market or event hosted by Smith Farm & Fields involves inherent risks, including but not limited to personal injury, property damage, theft, weather-related incidents, foodborne illness claims, equipment failure, or accidents. To the fullest extent permitted by Pennsylvania law, I hereby release, waive, and discharge Smith Farm & Fields, its owners, employees, volunteers, and affiliates from any and all claims arising out of my participation. I agree to indemnify and hold harmless Smith Farm & Fields from any claims, damages, or expenses resulting from my products, services, employees, or activities. I understand that Smith Farm & Fields does not provide insurance coverage for vendors and that I am solely responsible for maintaining any necessary insurance, including general and product liability insurance. This agreement shall be governed by the laws of the Commonwealth of Pennsylvania.

Vendor Fee $25 per event. This will be collected once application is approved.

Checkbox

Captcha (required)

Please avoid sharing sensitive data such as passwords or credit card info in this form. This is not a secure login or billing page to share that data.