2022 Good Shepherd Farmers Market Vendor Application Question Title * 1. Applicant(s) Name Question Title * 2. Business and/or Farm Name Question Title * 3. Mailing Address Street Address 1 Street Address 2 City State Zip Code Question Title * 4. Cell Phone xxx-xxx-xxxx Question Title * 5. Secondary Phone xxx-xxx-xxxx Question Title * 6. Email Address Question Title * 7. Website (if available) Question Title * 8. Social Media Platforms (Instagram, Facebook, etc) Question Title * 9. Type of Vendor Farmer Food Specialty Other Question Title * 10. GSFM is an all-edible market. All products distributed, offered for sale, or sold at the GSFM must have been raised, grown, made, crafted, processed, or produced by the vendor in a Texas county completely or partially located within a 150-mile radius of Travis County, except that the 150-mile radius requirement does not apply to produce or other food items determined by the GSFM Vendor Committee to be unavailable from vendors in the radius area. No products may be offered for resale. Vendors shall be subject to inspection of their farm or place of production at any time to assure compliance with the rules and regulations of the GSFM.Please describe the products you intend to sell at Good Shepherd Farmers Market. Question Title * 11. Physical address where your produce is grown or your products are made. Street Address 1 Street Address 2 City State Zip Code Question Title * 12. Type of facility: Farm Commercial kitchen Home kitchen operating under Cottage Law The GSFM will have 2 series of markets in 2022. We will hold markets in April, May, June and the July 4th weekend. We will take July and August off when the Austin heat takes its toll. And will come back in mid-September once school is in full swing, fall veggies are available and it's beautiful weather to enjoy being outside! Question Title * 13. Spring 2022 Market Dates (CLOSED) April 9th April 16th April 23rd April 30th May 7th May 14th May 21st May 28th June 4th June 11th June 18th June 25th July 2nd Question Title * 14. Fall 2022 Market Dates I plan to attend September 10th September 17th September 24th October 1st October 8th October 15th October 22nd October 29th November 5th November 12th Question Title * 15. Licenses and Permits:Vendors are responsible for their own licenses and permits. Vendor represents and warrants that vendor has obtained all necessary licenses and permits to sell products at the Good Shepherd Farmers Market. Vendors shall comply with and be responsible for all applicable City of Austin, State of Texas, and all federal regulations and/or ordinances regarding permits and safe handling of potentially hazardous foods. Vendors of potentially hazardous foods, including but not limited to meats, cheese, eggs, milk and milk products, and other manufactured foods needing temperature control will need a City of Austin Farmers Market Permit from Austin Public Health. Permit information and farmers market booth requirements can be found at http://austintexas.gov/department/farmers-markets I agree to comply with all these responsibilities as a Vendor at Good Shepherd Farmers Market. Question Title * 16. 2022 GSFM Vendor AgreementMarket Bylaws, booth fees, insurance requirement and Hold Harmless Agreement are all included in the 2022 GSFM Vendor Agreement Please read this in its entirety and return a signed original copy before first market or on the day of participation in first market. Return signed agreement by mail to Good Shepherd Farmers Market, 3201 Windsor Road, Austin, TX 78703 or in person to Market Manager on any Market Saturday. Question Title * 17. Application Date Date Date SUBMIT