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By completing this form, I verify that I am a member in good standing with the Leroy James Farmers Market. In consideration for being permitted to serve as a vendor at the Leroy James Farmers Market, and for the opportunity to present and sell fresh produce, meats, baked goods, plants, seafood, and/or local crafts to the general public, I hereby release and hold harmless Pitt County Government, along with its officials and employees, from and against any and all claims, costs, and damages arising out of or in any way related to my participation and/or use of space at the Leroy James Farmers Market.
I acknowledge that such damages may include, but are not limited to, those resulting from contaminated food, damage to food or property, theft, personal injury, property damage, or any other claims of any kind.
I further agree to indemnify, defend, and hold harmless Pitt County Government, along with its officials and employees, from and against any and all sums of money, damages, attorney’s fees, costs, or expenses that may arise as a result of any injury or damage I may cause during my participation and/or use of space at the Leroy James Farmers Market.
This release is given freely in consideration of the privilege granted to me to serve as a vendor at the Leroy James Farmers Market. It is intended to be binding upon my heirs, successors, and assigns.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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