Name

Street Address

City State Zip

Phone

BREED AND NAME OF DOG

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I acknowledge that Ferrum College is not responsible for accidents or damage to myself, my workers, my animals or my equipment. I will conduct myself in a safe manner while participating in the Blue Ridge Folklife Festival. I agree to grant to Ferrum College the right to photograph and/or use my name, photograph or likeness in any reasonable manner; and to publish, exhibit or distribute the same relating to the Blue Ridge Folklife Festival.

This field is required. Agree