Healing Gallery Application

PLEASE FILL OUT COMPLETELY

Name *

First

Last

Business Name or Artist or Reader Name or Title *

Gallery Submission Type *

Other Vending Description *

Email *

Business Phone Number *

Cell Phone Number *

Website and/or Facebook *

Healing Gallery Fees:

You get One 10x10' space
for the purpose of performing your services
or displaying and/or selling your artwork
meeting and greeting attendees
and discussing your art or service.

There is NO up front fee.
SJPPD will only request
a small percentage of your sales.
(Which will be negotiated, but likely 10% min)

Please discuss your intended pricing structure. *

Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

Is this a retail address? *

Yes, customers can visit during business hours Yes, customers can visit by appointment only No, it is just my mailing address, do not publish it

Please describe your art or services, or all. *

Description or Blurb for the Website & Program *

IMPORTANT:
Persons providing massage or any other service requiring legal Certification by the State MUST also forward documentation of your Certification and Insurance!!

Additional Comments *

Please also forward any photos of your artwork if not included on your website to
southjerseypaganpride@gmail.com

Check Each Box That You Understand and Agree to Each *

I have read all the Event Rules & Park Regulations and agree to abide by them, and that my refusal to do so may result in ejection from the event or further action. I understand that a Hold Harmless Waiver will be required to be signed, in person, prior to my setting up shop the day of the event. I am solely and legally responsible for my equipment, people, pets, and product. I am solely and legally responsible for having proof of Certification and Insurance if my Service requires it by Law. I agree to pay a min 10% of my sales for the day to SJPPD in good faith for the space at PPD.