Primary Medical Facility/Provider:
Do you have any known allergies or medical conditions that we should be aware of?
I have voluntarily provided the above contact information and authorize the Mankato Farmer’s Market and its representatives to contact any of the above on my behalf in the event of a medical emergency.
I choose not to furnish any emergency contact information to the Mankato Farmer’s Market at this time.
Please provide any additional documents you feel we need.
By clicking submit below, I agree to the conditions stated above and that all information I have stated on this form is correct. This information is to be kept in the Market Manager’s Shed and will be classified as confidential.