Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Vendor type *

Goods and Services

Other

Do You Need Electricity?

Yes

No

Rules and Regs *

This is a rain or shine event. All Donations are non-refundable, but still tax-deductible. By accepting this form, all participants in this event release the city of Lawrence, Ballard Center and all other sponsors or event workers of any liability, and from any and all known and unknown damages, injuries, losses, judgements, and or claims from cause whatsoever that may be suffered by any entrant or to his or her personal property. Kindly observe all safe traffic laws and city ordinances. I have read the above, and agree to these conditions for the Rev it Up! Show.

I accept