DISCLAIMER

BY PARTICIPATING IN Design & Fashion Night (collectively, the "EVENT"), I AGREE TO NOT HOLD THE OLD CITY BUSINESS COLLECTIVE, STAFF OR VOLUNTEERS (collectively, the "ORGANIZERS") LIABLE FOR ANY PERSONAL INJURY, DEATH, LOSS OF OR DAMAGE TO PROPERTY (collectively, "LOSS") OCCURRING TO MYSELF, OR ANY EMPLOYEE, GUEST OR CUSTOMER AS A RESULT OF ANY ACTIVITIES I AM INVOLVED WITH THE EVENT AND I HEREBY RELEASE, ON MY OWN BEHALF AND ON BEHALF OF ANY PARTY CLAIMING THROUGH OR IN RESPECT OF ME, THE ORGANIZERS FROM ANY AND ALL LIABILITY WITH RESPECT TO ANY LOSS.

Name *
Business Name *
Business Address *
E-Mail *
Phone *
Website
Electronic Signature (re-type your name) *
Business Type *
 Clothing/Accessory Store
 Furniture Store
 Spa
 Salon
 Home Store
 Gallery
 Gift Store
 Restaurant
 Other
If "other" is selected please describe your business
Are you hosting a public or private event? *
Description of your event: *
I certify that I will read, understand and accept the guidelines of Design and Fashion Night as a participant. *
 I agree and will participate in the event
Date (MM-DD-YY) *
Please type the letters and numbers shown in the image.
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