First Responder Registration Department Name:* Head Cook:* Address:* Street Address City State / Province / Region Postal / Zip Code Phone:* Area Code - Phone Number E-mail:* Cooking Space Dimensions:*Select value20x2020x3020x40 Additional Requirements:By clicking submit the undersigned does hereby discharge, release, indemnify, and hold harmless the Borough of Spring Grove, Spring Grove Regional Parks and Recreation and the Spring Grove Chamber of Commerce its officers, employees, agents, volunteers, and all other sponsoring organizations from any and all manner of actions, suits, damages or claims whatsoever arising from any loss or damage to the person or property of the undersigned and the undersigned's employees, volunteers, representatives or agents while participating in the SMOKE IN THE GROVE event. Solve the simple math problem below:SubmitReset
