Performer Name:
Company Name (if applicable):
Street Address:
City:
State/Province:
Postal Code:
Country:
Phone Number:
Email Address:
Briefly describe your performance (e.g., genre of music, type of storytelling, specific act):
Approximate duration of your typical performance set:
Are there any specific technical requirements for your performance (e.g., power outlets, sound system, specific stage size)?
Please provide links to videos or audio recordings of your performance (if available):
Explain your rate or requirements:
Please Read Carefully Before Signing:
Insurance is required to cover you, Medieval Fae Fest, and the Jackson County Ag Center in the amount of $1,000,000.00.
I, the undersigned performer (or authorized representative of the performing company), hereby acknowledge that my participation in the Medieval Fae Fest (the "Event") involves potential risks, including but not limited to, physical injury, property damage, and other unforeseen hazards inherent in performing arts and large public gatherings.
In consideration of being permitted to participate in the Event, I hereby agree to assume all risks associated with my participation and waive, release, and discharge the Medieval Fae Fest, its organizers, volunteers, sponsors, agents, employees, and any associated entities (collectively, "the Organizers") from any and all claims, demands, actions, or causes of action of any kind whatsoever, including but not limited to, those arising from negligence, that may arise from or in connection with my participation in the Event.
I further agree to indemnify and hold harmless the Organizers from any and all losses, liabilities, damages, costs, or expenses, including reasonable attorney's fees, incurred by the Organizers as a result of any claims, demands, actions, or causes of action brought by me or on my behalf, or by any third party, arising out of or in connection with my participation in the Event, except for claims arising from the gross negligence or willful misconduct of the Organizers.
I understand that this Waiver of Liability is a legally binding document and that by signing it, I am giving up certain legal rights. I have read and understood this Waiver of Liability, and I voluntarily agree to its terms. Performer/Company Representative Signature: Printed Name: Date: Please submit this completed form as directed by the Medieval Fae Fest organizers.