CORNER MARKET

1

Vendor Full Name* This field is required.

First Name

Last Name

2

Vendor Business Name* This field is required.

Business Name

Product type

3

Phone Number* This field is required.

4

E-mail* This field is required.

example@example.com

5

My Products

My Bag

0

APRIL
$35.00Edit
Back
1
1
2
3
4
Quantity
April 10x10
April 10x10
April 10x20
BOOTH SIZE OPTIONS
MAY
$35.00Edit
Back
1
1
2
3
4
Quantity
May 10x10
May 10x10
May 10x20
BOOTH SIZE OPTIONS
Subtotal: $0.00
JUNE
$65.00Edit
Back
1
1
2
3
4
Quantity
JUNE 10x10
JUNE 10x10
JUNE 10x20
BOOTH SIZE OPTIONS
Subtotal: $0.00
AUGUST
$65.00Edit
Back
1
1
2
3
4
Quantity
August 10x10
August 10x10
August 10x20
BOOTH SIZE OPTIONS
Subtotal: $0.00
SEPTEMBER
$65.00Edit
Back
1
1
2
3
4
Quantity
September 10x10
September 10x10
September 10x20
BOOTH SIZE OPTIONS
Subtotal: $0.00
OCTOBER
$65.00Edit
Back
1
1
2
3
4
Quantity
October 10x10
October 10x10
October 10x20
BOOTH SIZE OPTIONS
Subtotal: $0.00
JULY
$65.00Edit
Back
1
1
2
3
4
Quantity
JULY 10x10
JULY 10x10
JULY 10x20
BOOTH SIZE OPTIONS
Subtotal: $0.00

Payment Methods

Credit Card

First Name

Last Name

Google Pay

After submitting the form, you will be redirected to the Google Pay to complete the payment process.

Apple Pay

After submitting the form, you will be redirected to the Apple Pay to complete the payment.

ACH Bank Transfer

Account Holder Name

6

VENDOR AGREEMENT 1. VENDOR ACKNOWLEGES THAT THIS IS AN OUTDOOR EVENT. 2. VENDOR AGREES THAT THEY ARE REPSONSIBLE FOR SET UP AND TAKE DOWN OF THEIR BOOTH AND THAT ALL SUPPLIES WILL BE PROVIDED BY THE VENDOR (TENT, TABLES, ETC). 3. VENDOR AGREES TOO MAKING SURE AREA IS CLEAN DURING THE EVENT AND PRIOR TO LEAVING THE EVENT. 4.VENDOR ACKNOWLEDGS THAT THIS SPACE DOES NOT COME WITH ELECTRICTY. 5.VENDOR AGREES TO BEHAVE IN BUSINESS APPROPRIATE MANNER. CANCELATION POLICY*** 1. THE VENDOR AGREES THAT IF THEY NEED TO CANCEL THEIR BOOTH FOR EVENT, THAT THEY NOTIFY THE CLIENT NO LATER THEN 1 WEEKS PRIOR TO EVENT IN ORDER TO RECEIVE FULL BOOTH REFUND OR CREDIT. 2. THE VENDOR UNDERSTAND THAT ANY CANCELATIONS THAT OCCUR AFTER THE 1 WEEKS OR ANY VENDOR THAT NO SHOWS AN EVENT, WILL NOT RECEIVE A REFUND. WEATHER POLICY** 1. THE VENDOR AGREES THAT THIS IS A RAIN OR SHINE EVENT AND THAT ANY NO SHOWS WILL NOT BE REFUNDED. 2. THE VENDOR AGREES THE IN THE EVENT OF RAIN,AND THEY DECIDE TO NOT COME TO EVENT, THAT THEY WILL NOT BE REFUNDED. RESTROOM FACILITIE** 1.THE VENDOR AGREES THAT THEY WILL USE THE FACILITIES PROVIDED BY THE CORNER MARKET AND ENCOURAGE CUSTOMERS TO USE THE SAME FACILITIES PROVIDED BY THE CORNER MARKET LIABLITY*** 1. THE VENDOR AGREES TO SIGN LIABLITIY WAIVER RELEASING CLIENT OF ANY LIABLITY AND VENDOR WILL RETAIN RESPONS 2. THE VENDOR UNDERSTANDS THAT WE ARE NOT LIABLE FOR ANY LOSS, DAMAGE OR THEFT DURING THE CORNER MARKET EVENT. SET UP TIME AND TAKE DOWN*** 1. THE VENDOR ACKNOWLEGES THAT THEY CAN ARRIVE NO EARLIER THEN 8AM TO

GO TO NEXT PAGE

7

WAIVER AND RELEASE OF LIABILITY IN CONSIDERATION OF the risk of injury that exists while participating in THE CORNER MARKET (hereinafter the "Activity"); and IN CONSIDERATION OF my desire to participate in said Activity and being given the right to participate in same; I HEREBY, for myself, my heirs, executors, administrators, assigns, or personal representatives (hereinafter collectively, "Releasor," "I" or "me", which terms shall also include Releasor's parents or guardian if Releasor is under 18 years of age), knowingly and voluntarily enter into this WAIVER AND RELEASE OF LIABILITY and hereby waive any and all rights, claims or causes of action of any kind arising out of my participation in the Activity; and I HEREBY release and forever discharge THE CORNER MARKET AND OWLS NEST JOYLAND LLC AND THE NEST EGG LLC, located at 2901 Se 29th St, Topeka, Kansas 66605, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns (collectively "Releasees"), from any physical or psychological injury that I may suffer as a direct result of my participation in the aforementioned Activity. I AM VOLUNTARILY PARTICIPATING IN THE AFOREMENTIONED ACTIVITY AND I AM PARTICIPATING IN THE ACTIVITY ENTIRELY AT MY OWN RISK. I AM AWARE OF THE RISKS ASSOCIATED WITH PARTICIPATING IN THIS ACTIVITY, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO: PHYSICAL OR PSYCHOLOGICAL INJURY, PAIN, SUFFERING, ILLNESS, DISFIGUREMENT, TEMPORARY OR PERMANENT DISABILITY (INCLUDING PARALYSIS), ECONOMIC OR EMOTIONAL LOSS, AND DEATH. I UNDERSTAND THAT THESE INJURIES OR OUTCOMES MAY ARISE FROM MY OWN OR OTHERS' NEGLIGENCE, CONDITIONS RELATED TO TRAVEL TO AND FROM THE ACTIVITY, OR FROM CONDITIONS AT THE ACTIVITY LOCATION(S). NONETHELESS, I ASSUME ALL RELATED RISKS, BOTH KNOWN AND UNKNOWN TO ME, OF MY PARTICIPATION IN THIS ACTIVITY. I FURTHER AGREE to indemnify, defend and hold harmless the Releasees against any and all claims, suits or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by me or anyone on my behalf, including attorney's fees and any related costs. I FURTHER ACKNOWLEDGE that Releasees are not responsible for errors, omissions, acts or failures to act of any party or entity conducting a specific event or activity on behalf of Releasees. In the event that I should require medical care or treatment, I authorize The Corner Market and Owls Nest Joyland LLC and The Nest Egg LLC to provide all emergency medical care deemed necessary, including but not limited to, first aid, CPR, the use of AEDs emergency medical transport, and sharing of medical information with medical personnel. I further agree to assume all costs involved and agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance. I FURTHER ACKNOWLEDGE that this Activity may involve a test of a person's physical and mental limits and may carry with it the potential for death, serious injury, and property loss. I agree not to participate in the Activity unless I am medically able and properly trained, and I agree to abide by the decision of the The Corner Market and Owls Nest Joyland LLC and The Nest Egg LLC official or agent, regarding my approval to participate in the Activity. I HEREBY ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS "WAIVER AND RELEASE" AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. I EXPRESSLY AGREE TO RELEASE AND DISCHARGE The Corner Market and Owls Nest Joyland LLC and The Nest Egg LLC AND ALL OF ITS AFFILIATES, MANAGERS, MEMBERS, AGENTS, ATTORNEYS, STAFF, VOLUNTEERS, HEIRS, REPRESENTATIVES, PREDECESSORS, SUCCESSORS AND ASSIGNS, FROM ANY AND ALL CLAIMS OR CAUSES OF ACTION AND I AGREE TO VOLUNTARILY GIVE UP OR WAIVE ANY RIGHT THAT I OTHERWISE HAVE TO BRING A LEGAL ACTION AGAINST The Corner Market and Owls Nest Joyland LLC and The Nest Egg LLC FOR PERSONAL INJURY OR PROPERTY DAMAGE. To the extent that statute or case law does not prohibit releases for ordinary negligence, this release is also for such negligence on the part of The Corner Market and Owls Nest Joyland LLC and The Nest Egg LLC, its agents, and employees. I agree that this Release shall be governed for all purposes by Kansas law, without regard to any conflict of law principles. This Release supersedes any and all previous oral or written promises or other agreements. In the event that any damage to equipment or facilities occurs as a result of my or my family's or my agent's willful actions, neglect or recklessness, I acknowledge and agree to be held liable for any and all costs associated with any such actions of neglect or recklessness. THIS WAIVER AND RELEASE OF LIABILITY SHALL REMAIN IN EFFECT FOR THE DURATION OF MY PARTICIPATION IN THE ACTIVITY, DURING THIS INITIAL AND ALL SUBSEQUENT EVENTS OF PARTICIPATION. THIS AGREEMENT was entered into at arm's-length, without duress or coercion, and is to be interpreted as an agreement between two parties of equal bargaining strength. Both and The Corner Market and Owls Nest Joyland LLC and The Nest Egg LLC agree that this agreement is clear and unambiguous as to its terms, and that no other evidence shall be used or admitted to alter or explain the terms of this agreement, but that it will be interpreted based on the language in accordance with the purposes for which it is entered into In the event that any provision contained within this Release of Liability shall be deemed to be severable or invalid, or if any term, condition, phrase or portion of this agreement shall be determined to be unlawful or otherwise unenforceable, the remainder of this agreement shall remain in full force and effect. If a court should find that any provision of this agreement to be invalid or unenforceable, but that by limiting said provision it would become valid and enforceable, then said provision shall be deemed to be written, construed and enforced as so limited. In the event of an emergency please contact the following person(s) in the order presented: Emergency Contact Contact Relationship Contact Telephone I, THE UNDERSIGNED PARTICIPANT, AFFIRM THAT I AM OF THE AGE OF 18 YEARS OR OLDER, AND THAT I AM FREELY SIGNING THIS AGREEMENT. I CERTIFY THAT I HAVE READ THIS AGREEMENT, THAT I FULLY UNDERSTAND ITS CONTENT AND THAT THIS RELEASE CANNOT BE MODIFIED ORALLY. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND THAT I AM SIGNING IT OF MY OWN FREE WILL. I have read this entire Release. I fully understand the entire Release and acknowledge that I have had the opportunity to review this Release with an attorney of my choosing if I so desire, and I agree to be legally bound by the Release. THIS IS A RELEASE OF YOUR RIGHTS. READ CAREFULLY AND UNDERSTAND BEFORE SIGNING.

8

SIGNATURE By signing this, you are are agreeing to all vendor requirements mentioned about in the vendor agreement section. By signing this, you are also signing the waiver of liability.

9

Invoice ID