Touch Mother Earth Workshop Facilitator Registration
August12th-14th, 2022         Email Us at: TouchMotherEarthProductions@gmail.com
Sign in to Google to save your progress. Learn more
Email *
The Facilitator agrees to offer or supply workshop(s) that support spirituality, sustainability, inclusiveness, fairness, equality, and honor the Earth, and each other and to enhance the attendee.  Please provide a positive experience to our attendees.          More info at:  https://touchmotherearth.com/performers-presenters 


Detail as you would like to appear in advertising, promotions or the program guide.
Name *
Contact Phone Number: You accept that we may text you. *
Organization Or Company or Title *
Website or Facebook Page or Social Media *
Second Facilitator Assisting Name
Description of Workshop Offered *
Description of Alternate Workshops Offered *
Signature of All Facilitators at Workshop *
Date *
MM
/
DD
/
YYYY
Hold Harmless Agreement:  As our event is being held on a camp/forest, you may encounter poison ivy, ticks, stones or ground holes, rugged terrain, fallen branches, etc. Be aware of these, hydrate yourself and have sun protection. Most of all, relax and enjoy yourself !      
 The Workshop Facilitator shall indemnify and hold harmless, Touch Mother Earth Non-Profit,  (Dave) David Miller,  and Cheryl Glover. their staff including volunteers and outside services, their employees, agents, and servants from and against any and all losses, penalties, damages, settlements, costs, charges, investigation, and defense of any claims, arising out of or resulting from the performance of the Contract/Vendor’s work or the completed operations provided that any such claim damage, loss or expense (a) is attributable to bodily injury, sickness, disease, or death, or to injury to or destruction of the tangible property including the loss of the use resulting in their form:  and (b) is caused in whole or in part by negligent act or omission of the Contract/Vendor, or anyone directly or indirectly employed by them or anyone for whose acts they may be liable (including a claim by an employee of the Contractor/Vendor) regardless of whether it is caused in part by a party indemnified hereunder. In any and all claims against, Touch Mother Earth Non-Profit, (Dave) David Miller, and Cheryl Glover, their staff including volunteers and outside services or Camp Sacajawea and the Girls Scouts of America, their employees, agents, and servants by any employees of the Contractor/Vendor, anyone directly or indirectly employed by them or anyone for whose acts they may be liable, the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable by or for the Contractor/Vendor under Worker’s Compensation Acts, disability benefit acts or other employee benefit acts. *
Required
BASIC RATES:  We are offering you free camping & reduced camping rates for your partner for your participation at the event. We can also offer you a vending spot at the Festival for a reduced fee. We are also offering marketing on our website and Facebook page.  Please provide press kits and other information for our marketing content. Video and pictures are suggested. Photo headshot is required.  Finally, below is the option to take a table at a reduced weekend rate if you want to sell books, do book signing, or other holistic services.
Please check all that apply and you will be sent an invoice for payment via PayPal or Square. Registration will not be considered complete until payment is made.  Refunds 5 days before event.
Choose Options with Rates *
Required
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy