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									                              WANTAGE 250 CELEBRATION
                 PARTICIPATION AGREEMENT: CIVIC/SPORTS ORGANIZATION



NAME OF ORGANIZATION: ___________________________________________________

MAILING ADDRESS OF ORGANIZATION: ______________________________________

____________________________________________________________________________

NAME OF CONTACT PERSON: ________________________________________________

TELEPHONE NUMBER OF CONTACT PERSON: _________________________________

BEST DAYS/TIMES TO CONTACT: ____________________________________________


YES! We will participate in the 250 Anniversary Celebration for Wantage Township.


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Choose one:
    Our Organization will participate on May 22, 2004.
    Our Organization will participate on September 25, 2004.
    Our Organization will participate on both May 22 and September 25, 2004.
Choose all that apply:
    Our Organization will promote the goals and purpose of our group for the general information of the
       public.
    Our organization will hold a membership drive as part of our activity
    Our Organization will sell food for the public, as a fundraising activity
       Specify Items To Be Sold: _____________________________________________
    Our Organization will sell drinks to the public, as a fundraising activity
       Specify Items To Be Sold: ______________________________________________
    Other (specify):_____________________________________________


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Please see page two of this form for the “Rules of Participation” and the signature line for the designated
contact person representing your organization.



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                           WANTAGE 250 CELEBRATION
              PARTICIPATION AGREEMENT: CIVIC/SPORTS ORGANIZATION
                                    RULES OF PARTICIPATION

1. If an organization intends to participate in both the May and September celebrations, but the scope of its
   activities will be different (e.g., if you intend to sell food at one event but not at the other, etc.), then fill
   out a separate Participation Agreement for each date.

2. If an organization is going to participate in the May event, a table and two chairs will be made available
   for the organization to use at the Wantage School. Any decorations, banners, posters, etc., promoting the
   organization must be provided by the organization.

3. If an organization is going to participate in the September event, it will be expected to provide its own
   table or booth, and chairs. Space will be reserved in the designated location at Woodbourne Park for the
   organization to set up its display. Any decorations, banners, posters, etc., promoting the organization must
   be provided by the organization.

4. Samples of any written material proposed for distribution at the event must accompany this application.

5. The sale of drinks and food is intended to involve pre-packaged goods (e.g., soda in cans; juice in fully
   closed containers; bottled water; pre-packaged popcorn, potato chips, cookies, etc.). If you propose to
   cook or prepare food/drink for sale on site (e.g., hot dogs, cotton candy, popcorn from a popcorn machine,
   etc.) your organization will need to make itself available for a special meeting with representatives of the
   County Health Department and Wantage Fire Prevention Bureau to coordinate necessary permits and
   inspections. NO SALE OF ALCOHOL PERMITTED.

    Check here if the sale of food or drink will involve on-site preparation: .

6. The applicant understands that approval for the sale of specific food items will be granted on a first-come,
   first-served basis, and that if another organization has already been given approval for the sale of a desired
   food/drink item, the 250 Celebration Committee reserves the right to request that your organization select
   a different item.

7. The participating organization agrees to abide by all existing rules and regulations of the Wantage
   Recreation Commission governing use of Woodbourne Park in Wantage Township.


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 I, the undersigned, being a duly authorized representative of the organization named on page one
 of this application, do hereby pledge the agreement and cooperation of the said organization in
 upholding the rules and regulations stated herein as a condition of participation in the 250th
 anniversary celebration of Wantage Township.

 Signature: _________________________________________ Date: ____________




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