CBCA Oktoberfest Commercial Exibitor Application Name(Required) First Last dba Email(Required) Enter Email Confirm Email Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneSeller's Permit Number 10'x10' Booth Price: $1,500.00 Quantity: 10'x10' Corner Booth Price: $2,000.00 Quantity: 10'x20' Booth Price: $3,000.00 Quantity: Insurance Option(Required) Certificate of Insurance Hold Harmless Certificate of Insurance Please submit proof of insurance in the below field.Certificate of Insurance Upload(Required)Max. file size: 512 MB.Hold Harmless and Waiver of Liability As used herein, "YOU" and "YOUR" refers to the undersigned "Vendor." The Clayton Business & Community Association, Inc. (CBCA) requires that all vendors execute this Waiver of Liability and Hold Harmless Agreement as a condition of being accepted as a vendor at the 2022 Art & Wine Festival. YOU (the Vendor) hereby acknowledge that there may be risks to your person (physical injury) and/or property that you propose to sell at the 2022 Art & Wine Festival, including damage or theft of your property. YOU also understand that we remain in the midst of the COVID-19 pandemic, that YOU, inclusive of your staff, employees, or persons who assist you at this event, may become infected through interaction with members of the public regardless of your vaccination status. YOU also understand that CBCA may not require members of the public attending this event to wear approved masks and may not choose to validate and inspect the vaccination status of persons attending this event. YOU, on behalf of yourself, your business, heirs and assigns, and anyone who may assist you in your business while attending this event, hereby fully and voluntarily assume such risks and waive, release, and hold harmless CBCA, its officers and directors, individual and business members of CBCA, CBCA volunteers, and the City of Clayton from any and all claims for personal injury, property damage or death that may result from YOUR participation and presence at the event named herein, and to the fullest extent allowed by law. Further, YOU the undersigned vendor(s) hereby agree(s) to defend, indemnify and hold harmless the Clayton Business and Community Association, Inc., and the City of Clayton, from any and every claim, demand, lien, right, or cause of action of any kind or character, including all costs and attorney's fees, arising out of such participation and attendance at the 2022 Art & Wine Festival I hereby certify that I am of legal age and competent to execute this Waiver of Liability and Hold Harmless Agreement, that in doing so of my own free will and accord, voluntarily and without duress, and that I do so intending to bind myself, my executor, my heirs and administrators or assigns to the fullest extent of the law.Hold Harmless & Waiver of Liability Signature(Required) Reset signature Signature locked. Reset to sign again Date(Required) MM slash DD slash YYYY Total Signature(Required) Reset signature Signature locked. 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