Name Phone
( )
DBA
Street
City State Zip
Email address:__________________________________________________________________
Please list all items to be
sold:
Include fee with
registration form:
1. Spaces rented - $50.00 per 15’ X 15’ Space
2.
Electricity – add $5.00
3. Late fee - $5.00 after September 1st
4. Total amount included
Make checks payable to “Woody Gap Sports Club”.
Please check
the size of your tent: ropes and tie down spikes need to fit dimensions.
I agree to release the Woody Gap Sports Club,
loss or damage in connection with this event. I accept conditions of attached General Information sheet.
Signed Date
Micha Mathis
Indian Summer Festival Phone: 706-747-1082