ALTADENA FARMERS’ MARKET

VOLUNTEER AND COMMUNITY SERVICE APPLICATION

LOCATION: LOMA ALTA PARK: 3330 LINCOLN AVENUE, ALTADENA, CA 91001

MARKET OPERATOR: STACEY WHITNEY

PHONE: (626) 733-6818 email: [email protected]

MARKET SPONSOR: ALTADENA COMMUNITY GARDEN

3330 N. LINCOLN AVE., ALTADENA, CA. 91001

PLEASE INCLUDE THE FOLLOWING WITH YOUR APPLICATION BEFORE YOU SUBMIT. (All are in this application packet):
1. COMPLETED APPLICATION
2. HOLD HARMLESS AGREEMENT – SIGNED AND DATED

NAME OF VOLUNTEER:

CELL PHONE/TEXT NUMBER:

MAILING ADDRESS:

E-MAIL:

LIST ALL THE FARMERS' MARKETS WHERE YOU VOLUNTEER:

DO YOU NEED COMMUNITY SERVICE HOURS?:

WHAT PERSONAL INTERESTS DO YOU HAVE THAT BEST SERVE OUR FARMERS' MARKET?:

HOW MANY HOURS ARE YOU ABLE TO VOLUNTEER EACH WEEK?

VOLUNTEER SIGNATURE:
DATE:

ALTADENA FARMERS’ MARKET

HOLD HARMLESS AGREEMENT

LOCATION: Loma Alta Park: 3330 Lincoln Avenue, Altadena, CA 91001

MARKET OPERATOR: STACEY WHITNEY

PHONE: (626) 733-6818 email: [email protected]

MARKET SPONSOR: ALTADENA COMMUNITY GARDEN

3330 N. LINCOLN AVE., ALTADENA, CA. 91001

I, OWNER OF
WHOSE ADDRESS IS:
(hereinafter “Volunteer”), in consideration of being provided selling space at the Altadena Farmers’ Market agree to the following terms and conditions:
  1. Volunteer shall indemnify, defend, and hold harmless the Altadena Farmers’ Market, Stacey Whitney, Altadena Community Garden, The Los Angeles County Department of Parks and Recreation, their agents, servants, employees, and volunteers
from and against any and all loss, damages, liability, claims, suits, costs and expenses, whatsoever, including reasonable attorneys’ fees arising from or in any manner connected to the willful misconduct or to the passively or actively negligent acts, errors, or omissions of Volunteer, its agents and employees, in connection with Volunteer’s participation in the Altadena Farmers’ Market and in the performance of services, work or activities under this agreement and the Altadena Farmers’ Market Rules & Regulations.
2. Volunteer acknowledges receipt of and agrees to comply with each and every rule, regulation, procedure, term and condition set forth in the Altadena Farmers’ Market Rules and Regulations.
IN WITNESS WHEREOF, THIS AGREEMENT IS EXECUTED THIS DAY OF
VOLUNTEER’S NAME (PRINT):
VOLUNTEER’S SIGNATURE:
PHONE:
EMAIL: