2021 Youth Application Application for Youth entrepreneurs in the 2021 season Step 1 of 5 20% Today's DateDate of completing the application MM slash DD slash YYYY Youth Entrepreneur SelectionChoose One: Returning Youth Entrepreneur New Youth Entrepreneur Do you need to update any contact info?Choose One: Yes No Contact InfoBusiness NameDoes your business have a name? if not, leave blank Name of ApplicantList Primary applicant and any additional people that may be part of your businessFirstLast Add RemoveAre you under the age of 15If under age 15, must be accompanied at all times by a parent or guardian Yes No Name of Parent or GuardianIf under 18, please list your parent or guardianFirstLast Add RemoveAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone (Primary)Phone (Parent or Guardian)Email Youth Entrepreneur DirectoryWould you like your Business added to our Youth Entrepreneur Directory Page? Yes No Web and Social MediaWebsite / URL Facebook TwitterThis is not your @Twitter Handle Instagram Product or Business InformationProduct or Business DescriptionPlease provide a brief description of what you do.Please List ALL items you intend to sell at the market.Items not listed and approved by Market staff may not be sold at the market. Add RemoveAttach Photos of you itemsif photos are not submitted, you application may be rejectedMax. file size: 256 MB. Vendor BoothsEach stall is approximately 10’ wide (front) by 20’ deep (sides)DatesPlease check ALL weeks you plan on attending the market: June 20 June 27 July 4 July 11 July 18 July 25 August 1 August 8 August 15 August 22 August 29 September 5 September 12 September 19 September 26 October 3 October 10 All Youth Entrepreneurs are allowed 2 free spaces per season. Additional weeks can be requested for a fee of $20.00/week. Alternatively, additional weeks can be requested in exchange for 4 volunteer hours/week at the Market. If planning on attending more than 2 weeks I plan on paying for additional weeks I plan on volunteering in lieu of paying for extra weeks Terms and ConditionsPlease Check to ConfirmTerms of Service(Required)I have read and agree to abide by all 2021 Market in the Valley guidelines. I agree that Northwest Community Farmers Market Connection DBA Market in the Valley (Market in the Valley) and the City of Golden Valley, and their respective officers, employees, agents, and consultants are not liable for any injury, theft, or damage to either the buyer or seller, on their property, arising out of or pertaining to preparation for or participation in Market in the Valley; whether such injury, theft or damage occurred prior, during, or after Market in the Valley, Business/Farm further agrees to indemnify, defend and hold harmless Market in the Valley and the City of Golden Valley and their respective officers, employees, agents, and consultants for and against any claims for such injury, theft or damage. I understand that it is required that I carry my own general liability and product liability insurance, as Market in the Valley does not provide this coverage. Market in the Valley periodically takes pictures and videos of people participating in/attending Market in the Valley for marketing and promotional purposes. I grant permission to use the name, pictures, videos, and quotes of my employees and myself for this purpose. I agree to the Terms of Service Market in the Valley shall review and approve all vendor applications before a vendor can participate in Market in the Valley. Space at the Market and the mix of items a vendor offers and vendor variety are some, but not all of the factors in determining approval. During selection of vendors Market in the Valley shall not discriminate on the basis of race, color, creed, religion, ancestry, national origin, sexual orientation, disability, age, marital status or status with regard to public assistance.SignatureSignature of Parent or GuardianSignature require if applicant is under the age of 18Today's DateDate of completing the application MM slash DD slash YYYY CommentsThis field is for validation purposes and should be left unchanged.