Kiddie Ride Application
We Promote a litter free environment.
Our 30th annual Swine Time Festival will be held on Saturday, Nov. 26, 2005.
We can accommodate two Space/Star/Moon walks, two Pony Rides, one Miniature Train
Ride and one Large Inflatable Slide, and not more than two Climbing Towers.

If you would like to participate, please complete the application below 
& send it along with a self addressed stamped envelope & a money order
made out to Climax Community Club for $200.00 per ride to 
Climax Community Club, 
Attn: Ride Coordinator, P.O. Box 131, Climax, Ga. 39834.  
Phone & Fax Number: (229) 246-3300 

120 volt, 20 amp phase power supplied only.  Generators preferred. 

Entries will be accepted on a "first come" basis.  
If we are filled, your money order will be returned in your SASE and 
we will put your name on the waiting list in case of a cancellation.  
Please include your phone number so we can call you if there is a cancellation. 

Insurance is required for your entry.
Please include a copy of your declaration page that includes the amount of
insurance, company name & expiration date. (Min. $1,000,000. Ea. Occurrence,
Personal & ADV Injury, General Aggregate–$50,000. Fire Damage $5,000. Med.)
 

Swine Time Kiddie Ride Application
No refund due to acts of GOD or like disasters. You are responsible for sales tax.
 

NAME __________________________________________ PHONE _________________________

ADDRESS _______________________________________________________________________

CITY __________________________________________ STATE_____________ ZIP__________
 

ELECTRICITY:   YES   NO      NAME OF RIDE ______________________________________


SPACE REQUIREMENTS FOR RIDE_____________________________________________________

(Send Picture, brochure and complete description of each ride on application.)

 
SIGNED________________________________________________ DATE:________________

By signature above, Applicant accepts responsibility for any accident or mishap
associated with their Kiddie Ride or other Entertainment entry and agrees to
hold the Climax Community Club and The Swine Time Festival harmless from any
litigation resulting from any accident or mishap associated with applicant’s
entry.  Applicant certifies understanding of rulesand will abide by the
guidelines set by the Climax Community Club/Swine Time Committee.