By submitting this form and payment, you agree to the following:

I/we the undersigned, applicant of the Ferndale Street Festival, August
28, 2010, hereby for myself/ourselves/my/our employees, representatives, heirs,
Administrators and assigns, waive and release any and all rights and claims for
damages I/we may have against the City of Ferndale, Ferndale Chamber of
Commerce, and the Ferndale Street Festival Committee and/or any other
organizations or individuals connected with this event their representatives,
successors and assigns for any and all damages, losses, thefts or injuries
which I/we may suffer while taking part in any activities connected with this event.