2025 Farm Application All returning and new farms must complete this form to be included in the 2025 Ag & Art Adventure. 2025 Farm Application Name(Required) First Last Were you a participant in the 2024 Ag & Art Adventure?(Required) Yes, I participated in 2024 and would like to participate again in 2025 No, this is my first time applying I participated in prior years and would like to participate again in 2025 Returning participants from 2024 are automatically approved to participate in 2025. Returning participants should still provide updated information for 2025. Name of Farm(Required) Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email(Required) Phone(Required)Website / Social Media Describe your Farm and Farm Product(s)(Required)Materials / process / toolsDo you have parking available?(Required) Yes No Are you willing to host artists on your farm?(Required) Yes No I will demonstrate(Required) Yes No I will have farm products for sale(Required) Yes No Potentially I will give farm tours(Required) Yes No Describe any special activities, either paid or free, you would like to host at your farm during the eventMaterials / process / toolsMailing Address (if different from Farm address) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Liability Insurance Coverage(Required) I certify that I/we have appropriate liability insurance to participate in the Grayson County Ag & Art Adventure I am willing to be a stop on the Ag & Art Bus Tour(Required) Yes No Maybe Would you like to set up a booth at the Historic 1908 Courthouse during the Sunday Sing & Pick Concert featuring a free concert by Wayne Henderson?(Required) Yes No The Sunday Sing & Pick takes place Sunday, September 7 from 1 PM to 4 PM at the Historic 1908 Courthouse in Independence. Space to set up is determined on a first come, first served basis. There will be no farm or studio tours on Sunday.Would you be interested in consigning you products to be sold at the Historic 1908 Courthouse Tourism Gift Shop?(Required) Yes No All Ag & Art participants are invited to consign their work at the Tourism Gift shop. We will send you more information about consignment if you check yes.All Ag & Art applicants can pay the $100 application fee by sending cash or check to: Grayson County Tourism, PO Box 336, 107 E Main Street, Independence, VA 24348. Payments can also be made over the phone via credit card with a 3% fee. All participants will receive $50 back upon completion of the event. If you are interested in learning about our limited scholarships for participation, please contact [email protected]. Submitting Images (optional)** Image size limit of 2MB ***Image files must be named like this: “your last name_first name_image name.jpgImage #1Accepted file types: jpg, gif, jpeg, png, ai, svg, tiff, webp, heic, Max. file size: 100 MB.Image #2Accepted file types: jpg, gif, jpeg, png, ai, svg, tiff, webp, heic, Max. file size: 100 MB.Image #3Accepted file types: jpg, gif, jpeg, png, ai, svg, tiff, webp, heic, Max. file size: 100 MB.Image #4Accepted file types: jpg, gif, jpeg, png, ai, svg, tiff, webp, heic, Max. file size: 100 MB.Image of Studio / BoothAccepted file types: jpg, gif, jpeg, png, ai, svg, tiff, webp, heic, Max. file size: 100 MB.
