Form Center

2. 2023 Jacksonville Market Madness | Saturday, May 6, 2023 | 2pm - 5pm

4. This participation form provides the Jacksonville Parks and Recreation Department with information regarding participants, products, and attendance for the Jacksonville Market Madness. This form will be kept on file for reference.  Please complete and submit via online prior to attending a Market Madness event.  Admittance to the Jacksonville Market Madness is pending the approval of your application by the Jacksonville Parks and Recreation Department- including renewals.  

6. Contact Name*
7. Cell Number*
9. Name of Business*
11. Street Address*
12. City/State:*
13. Zip*
15. Email Address*
16. Tax-ID#
18. Category*
    -- Select One --FarmerPlants & FlowersLocally Prepared FoodCommercial SalesArts & Crafts (photos may be requested)
19. Arts & Crafts - NOTE:

    All Crafts will be juried and selected based on their fit with the Jacksonville Farmers’ Market.  Produce and Prepared Food Products will comprise the majority of products sold at the Market.  In keeping with the food-oriented mission of the Market, Crafts will hold a smaller place in the Market.  

23. List items being sold at the Market Madness Event.*

    *List other products, if needed, on a separate sheet.

25. Arts & Crafts description
29. Publicity Questionnaire
31. Website:
33. Facebook page:
35. Instagram page:
39. Agreement & Photo/Video Release:

    I am acknowledging that I have completely filled out the above form and that I have read and will abide by the Jacksonville Market Madness Rules & Regulations.

    I hereby consent to the use, reproduction, editing and/or broadcast by the City of Jacksonville, Arkansas of any and all photographs, video recordings and audio recordings of me and/or my family, taken by or on behalf of the Jacksonville Parks & Recreation department, without any compensation to me. All negatives and positives prints video-recorded images and audio recordings shall constitute the property of the City of Jacksonville solely & completely. Do we have permission to use your information and/or pictures on any print or web media distributed for advertising purposes to the public?  

    
    

40. Agreement*
    -- Select One --YesNo
Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field