Farmers Market Registration - Oklahoma Department of Agriculture ...

Farmers Market Registration ApplicationName of Market _____________________________ Location __________________________City _______________________________ State ____________ Zip _____________________Months of Operation _______________________ Hours of Operation ____________________Days of the Week Open _________________________________________________________Contact Person ____________________________Mailing Address _______________________________________________________________Phone number ___________________________ Fax ____________________________E-mail ______________________________ Market Website____________________________Please attach the following information:1. Copy of Markets guidelines and/or by-laws2. List of vendors participating in market indicating exemption status.3. Market manager contact info and or Advisory Board membersMarkets must agree to provide all vendors with a copy of the Farmers Market guidelinesestablished by the Oklahoma State Department of Health.Vendors participating at the market that have not grown or raised a portion of raw foodingredients used by the individual vendor to produce their processed products are not eligible forexemption and must maintain licenses as required by the Oklahoma State Department of Health.Vendors participating in the market selling potentially hazardous foods are not eligible forexemption and must maintain licenses.Loss of Registered Status: Farmer Markets may lose their registered status if they no longer meet the provisions ofthe Farmers Market definition. Vendors at the market who are exempt, but are found to be in violation of Health Deptregulations and fail to come into compliance.I herby agree that the information provided in this application is accurate to the best of myknowledge. (_____________________) agrees to comply with the requirements necessary toMarket Namemaintain its membership as a registered market with the Oklahoma Department of Agriculture,Food, & Forestry. I also understand that failure to comply with all of the provisions of theregistration requirements may result in the market losing its registered designation.Signature ____________________________________ Date _____________________________