Brewery/Cidery Registration – Lititz Craft Beer Fest

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Brewery/Cidery Name	South County Brewing Co.
Address	170 Crossway Dr York, PA, Pennsylvania 17402 Map It
Street Address	170 Crossway Dr
City	York, PA
State / Province	Pennsylvania
ZIP / Postal Code	17402
Phone	(717) 818-4463
Website	southcountybrewing.com
Wholesaler/Distributor (if applicable)	Self Distro
Day-of-Event Point Person
Name	Matt Conrad
First	Matt
Last	Conrad
Email	Email hidden; Javascript is required.
Phone	(223) 306-0404
Number of Personnel Attending	4
Administrative paperwork contact	This is you - the person completing this form.
Name	Nicole Berkebile
First	Nicole
Last	Berkebile
Email	Email hidden; Javascript is required.
Phone	(717) 818-4463
Logistics, deliveries, & shipments contact	(If different than the Administrative paperwork contact)
Name	Matthew Conrad
First	Matthew
Last	Conrad
Email	Email hidden; Javascript is required.
Phone	(223) 306-0404
Beer / Cider	We pay for the beer/cider, BTW. At least two offerings are required and we ask that our brewery/cidery vendors plan to bring and pour two (2) 1/2 bbls (or equivalent).
Offering 1	TBD
Offering 2	TBD
Acknowledgements	Please read and acknowledge your understanding and/or intention to comply with each of the following by affixing your signature where indicated:
Use of Tap Trailers and Tap Trucks/Vehicles Prohibited	Brewery/Cidery vendors shall not rely upon the use of tap trailers or tap trucks/vehicles for pouring due to insufficient space within the festival layout. Brewery/Cidery vendors shall be prepared to provide all necessary draft equipment or plan to pour from cans.
Items and Equipment Provided by the Organizer	The Lititz Craft Beer Fest will provide the following: A 10'x10' space, ice, a 6’ table, and (2) two folding chairs.
Items and Equipment NOT Provided by the Organizer	The Lititz Craft Beer Fest DOES NOT provide any of the following: Tents, keg tubs, draft equipment (including CO2), or access to electricity.
Brewery/Cidery Vendor Credentials	In order to obtain brewery/cidery vendor credentials for admittance into the festival area, personnel must pre-register by name and show valid ID when checking-in on the day of the event. Personnel who are not pre-registered or who do not have Valid ID will not be admitted.
Liability Waiver, Release, Covenant Not To Sue and Hold Harmless Agreement	The Brewery, Cidery, and/or Wholesale Distributor named on this Registration Form willingly and knowingly agrees to release and further to make no claim against, nor sue, the Lititz Ambucs, the Warwick Community Ambulance Association, TAIT Towers Manufacturing LLC, Redcay Industrial Development V, LLC, together with their respective officers, directors, members, volunteers, sponsors or employees, together with their heirs, executors, administrators and assigns, for any or all claims, causes of action, liability, loss, damage, theft of property, death, or any injury which may be incident to, arise from, or be in any way connected with the Lititz Craft Beer Fest. They further agree to indemnify and hold harmless the Lititz Ambucs, Warwick Community Ambulance Association, TAIT Towers Manufacturing LLC, and Redcay Industrial Development V, LLC from and against all such claims. This agreement extends to the brewery, cidery, and/or wholesale distributor, together with their employees, guests, invitees or volunteers, their heirs, executors, administrators and assigns.
Certification of Authority and Compliance with Pennsylvania Law	The Brewery, Cidery, and/or Wholesale Distributor certify, represent and warrant to the Lititz Ambucs, the Warwick Community Ambulance Association, TAIT Towers Manufacturing LLC, and Redcay Industrial Development V, LLC that it/they have full legal power and authority under Pennsylvania law to participate in the Lititz Craft Beer Fest, and that it/they will act at all times in full compliance with applicable Pennsylvania laws.
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