Please return completed form with $100 payment to:

Praise in the Park, Incorporated
Post Office Box 1689
Lucedale, MS 39452

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Name of Church:__________________________________Phone:___________

Church Address:___________________________________________________

Contact Person:__________________________________Phone:____________

Food Item(s) to be offered for sale:

1st Choice:______________________________

2nd Choice:______________________________

3rd Choice:______________________________

Electrical Needs: !!!!!NO LONGER AVAILABLE!!! 

Signature:_______________________Title:________________________

Email Address: _________________________

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By signing you agree to the following conditions set out by Praise in the
Park, Incorporated:
Praise in the Park, Inc. reserves the right to sell all sodas, water, and sports drinks during the 
event.  It is your responsibility to set up, maintain, and remove your booth.  Your group will be
expected to keep your  booth open during the entire event with an adult over the age of 21 in the
booth at all times.  The booth must meet the Health Department requirements for food service.  
Praise in the Park, Inc. and the City of Lucedale assume no liability for injuries or damage incurred
as a result of your participation in Praise in the Park.  
 
For more information, call (601)508-4950.