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Name(Required)

First Last

Name of Organization or Group(Required)

Organization Liaison Contact Name(Required)

Email

Liaison Email Address

Phone

Liaison Phone Number

Consent (if under 18, a parent or guardian must complete the consent)(Required)

By checking this box I acknowledge this is my signature and the information on this form is correct. I also give consent to Chattahoochee Nature Center for the following:

The above application has been completed voluntarily, and I certify that all statements and representations are true and correct. I understand that individual volunteers at the Chattahoochee Nature Center must sign a liability waiver, as well as possibly complete an on-site interview and/or consent to a background check before beginning any volunteer work at CNC. I understand that I am not an employee and will not be paid for my services as a CNC volunteer. I agree to abide by all the volunteer policies and procedures of the Nature Center.

Consent (if under 18, a parent or guardian must complete the consent)(Required)

I agree to the following

The undersigned hereby acknowledges that participation in recreational and other activities conducted by or in conjunction with the Chattahoochee Nature Center, and travel to and from such activities, involves inherent risks of physical injury, illness, death or loss of personal property, and the undersigned assumes all such risks, including risks associated with activities conducted in remote locations. In consideration of the mutual benefits derived from participation by the undersigned with activities conducted by or in conjunction with the Chattahoochee Nature Center, the undersigned hereby absolves, releases and waives any and all liability, claims or demands against the Chattahoochee Nature Center and its officers, directors, agents, trip leaders, volunteers, contractors and employees from any and all claims, demands, rights and causes of action of whatsoever kind and nature arising from and by reason of any and all known and unknown, foreseen and unforeseen bodily and personal injuries, including death, damage to property, and the consequences thereof resulting from or relating to participation by the undersigned in any activities conducted by or in conjunction with the Chattahoochee Nature Center. I understand that the Chattahoochee Nature Center is not responsible for vandalism, break-ins, or theft of personal property. I also understand that the Chattahoochee Nature Center does not provide insurance for participants in its activities and the undersigned is required to and shall carry such insurance adequate for any eventuality for injury or illness as a result of such activities. I certify that I am eighteen (18) years of age or older, or my parent or guardian has signed below, and that I or my parent and/or guardian have read the above carefully before signing.

HEALTH & SAFETY WARNING AND DISCLAIMER (if under 18, a parent or guardian must complete)(Required)

I agree to the following

The undersigned acknowledges that participating in Chattahoochee Nature Center programs or accessing Chattahoochee Nature Center facilities could increase the risk of contracting illnesses, including, without limitation, COVID-19. Chattahoochee Nature Center in no way warrants that illnesses and/or infections (including, without limitation, COVID-19) will not occur through participation in Chattahoochee Nature Center programs of accessing Chattahoochee Nature Center facilities.

PHOTO RELEASE AND WAIVER (if under 18, a parent or guardian must complete)(Required)

Yes

No

Do you give the Chattahoochee Nature Center permission to use your photo and its likeness for any and all print and video purposes it deems necessary or desirable? The Chattahoochee Nature Center will not be required to reimburse you for use of your photo or its likeness.

Name(Required)

First Last

Organization

Permanent Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Website URL (if available)

Phone(Required)

Email(Required)

CONCEPTUAL PLAN

Contestants will be selected based on construction types, portfolio, and incorporation of natural elements. We strive to find a balance between construction types.

If you have any examples of your work, please attach to your application or share a website where they can be viewed:

File

Max. file size: 50 MB.

Please describe what materials you would plan to use to create your Fairy House or Gnome Home, including how you plan to make your house durable to the elements and the public throughout the course of the exhibit:(Required)

Please describe how you would plan to include natural elements in your Fairy House/Gnome Home:(Required)

While not required, visitors love a backstory that goes along with a House. If you have any ideas on your story, please describe:

1. CONTRACT:

The following rules and regulations become binding upon acceptance of this contract between the Contestant or Team Captain (Vendor), its employees and agents, and the Chattahoochee Nature Center (CNC)

2. SPACE ASSIGNMENTS:

Space will be assigned to Vendors. CNC reserves the right to assign or alter exhibit locations as it deems advisable and in the best interest of the exhibit.

3. PRIZES:

Vendors must submit a W9 with their entry form in the event that the entry wins a prize. Prizes are to be awarded by CNC to the Vendor by check no later than the close of the exhibit on February 28, 2023. Vendors may elect to waive their prize winnings as a donation to CNC if they choose.

Prizes(Required)

I will submit W9 and receive a prize

I choose to waive my prize

4. CANCELLATIONS:

Cancellations must be requested in writing and received on or before November 17, 2022. Requests should be made to Farah McIntyre at f.mcintyre@chattnaturecenter.org.

5. SAFETY:

Any/all construction materials shall be in good operable condition and will be reviewed by CNC upon installation.

6. USE OF EXHIBIT SPACE:

(A) Vendors will be asked to check on their fairy house once per month over the duration of the exhibit. Vendors will receive three passes to show at admissions to be admitted at no charge for the purpose of checking on the display. Vendors may maintain their exhibit only during regular operating hours of CNC. Pass is to be used by Vendors only. (B) Business/company/individual logos or other promotional information may only be included in the exhibit upon entry under the Business/Corporate category. All exhibits must fit in the space provided. (C) Vendors must hold themselves to the highest standards of professionalism while maintaining the exhibit during operating hours, including adherence to CNC policies put into place to reduce the risk of COVID-19 community transmission. For more information please visit the CNC website. This includes: Staying home when appropriate: please stay home if you have COVID-19, are exhibiting symptoms of COVID-19 or have had close contact with a person with a confirmed or suspected COVID-19 case. (D) Vendors shall arrange their exhibit so it does not cause any safety issues or damage the natural environment in any way. (E) Vendors must remove all items between 3/1/2023 and 3/10/2023 at 5PM.

7. AMENDMENTS TO REGULATIONS:

Any and all matters and questions not specifically covered by the articles in this contract shall be subject to the decision of CNC. They may, in the interest of the exhibit, amend the aforementioned items covered by this contract at any time, and notice thereof shall be binding on Vendors equally with the foregoing rules set forth in this contract. CNC reserves the right to refuse space.

Consent(Required)

By checking this box I agree to the listed rules and regulations above.

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Preferred Date 1*
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Name of School/Organization*
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How many children will be participating in the program?*
How many adults will be participating in the program (including teachers, chaperones, and school staff)?*
Choice of Program(s)*
Preferred Date 1*
MM slash DD slash YYYY
Preferred Date 2*
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Preferred Date 3*
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Do you have any topics of interest that you would like us to focus on?*
Is there anything else we should know?*

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Email*
Phone*
Name of School/Organization*
Name of School/Organization*
How many children will be participating in the program?*
How many adults will be participating in the program (including teachers)?*
Choice of Program*
3 Preferred Program Dates*
Do you have any topics of interest that you would like us to focus on?*
Is there anything else we should know?*

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First Last
Email*
Phone*
Name of School/Organization*
Age range/grade level of participants*
How many children will be participating in the program?*
How many adults will be participating in the program (including teachers)?*
Choice of animal:*
- Box Turtle
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- Opossum
- Bird of Prey
3 Preferred Program Dates*
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