Name *

First Name

Last Name

Phone *

(###)

###

####

Do you permit your business name to be used on our social media pages specifically for advertising and promotion? *

Yes

No

Have you read and agree with the vendor agreement? *

Yes

No

Have you submitted payment to reserve your spot? *

Registration fee is $100

Yes, mailed in a check

Yes, submitted payment through GSLC website

Not yet

I acknowledge that Good Shepherd Lutheran Church, its Church Council, and any volunteers cannot be held responsible for ANY accidents OR lost, damaged, or stolen goods throughout the setup, takedown, or duration of the event. *

Yes

No