If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required 2017 Fall Festival on the Farm Saturday, September 23th 2-7pm Deep Roots Community Farm, County Rd. YY in La Crosse Registration Form Please fill out by June 15th State * Illinois Iowa Minnesota Wisconsin Contact Name * Website Phone Email A combination of cash and in kind donations are permitted. Please check which amount you will be doing. Farm Festival – Platinum Level - $5000 Farm Festival – Gold Level - $1500 Farm Festival – Silver Level - $500 Farm Festival – Bronze Level $250 BOOTHS: *All booth leaders will be required to host an activity that connects the community to healthy food and nature. *Grow La Crosse will provide one table, two chairs and two event entrance tickets (food will available for purchase). *There will be no selling permitted, but you may hand out information about your organization. *The farm will open on Saturday at 12pm for set up. Booth leaders need to be set up by 1:30pm. Grow La Crosse acknowledges and appreciates the time and effort you put towards making these amazing activities happen. Your organization will be given $150 credit towards a sponsorship for hosting a booth. Please complete if your organization would like to host a booth: Title and description of activity DONATIONS: We welcome in kind and cash donations to support our silent auction and fundraising efforts. The value of your donated items will count as credit towards a sponsorship. Please note: we do not accept vouchers for discounts on items. Please complete if your organization would like to donate a silent auction item Description and value of in kind donation PROMOTION: If your organization has the capacity to promote Fall Festival on the Farm we would be happy to fill out or provide content for your employee newsletter, internal posting etc. Please provide submission guidelines and deadline below. Your promotion of this event is greatly appreciated! Submission guidelines and deadlines PAYMENTS: Checks: Make check payable to: GROW La Crosse Mail check to: GROW La Crosse P.O. Box 1241 La Crosse, WI 54602 Contact Anne Seehafer with questions: anneseehafer@gmail.com 608-797-9100