Blacksburg Business Association Inc.

113 N. Shelby St Suite A
PO Box 67
Blacksburg SC 29702

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FOOD RELEASE

IRON CITY FESTIVAL

April 17th, 2010

By signing below before a witness, I acknowledge that I do not have general liability insurance to cover the food I am selling at the Iron City Festival.

I fully understand that if anyone should get hurt on any of my equipment that I am FULLY responsible for all expenses incurred.

I hereby acknowledge that___________________ _________________________is (are) the primary person(s) who cooked the food being sold at my booth.

If I am not the cook, the person(s) cooking any part of the food must also sign a release.

If anyone should become sick from the food sold from my booth, I understand that the person(s) preparing the food and the person(s)
selling the food will accept ALL responsibility.

I hereby release the Blacksburg Business Association, Inc, the Iron City Festival,
the Town of Blacksburg,
and the owner of the property where I am selling my products from any financial obligations should
something happen as explained above.

Witness:_________________________

Name of Business:_____________________________

Address of Business:_____________________________

Owner of Business:_____________________________

Date:_________________



blacksburgbba@yahoo.com

Copy and paste the form(s) and email or print and send to the above address.

Email: blacksburgbba7@yahoo.com