| Today's Date* |
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| Name of Special Event* |
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| Date(s) of Special Event* |
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| Times of Operation* |
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| Location of Event* |
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| Name of Sponsor (Person and/or Organization)* |
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| Sponsor Address* |
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| Organizer (if different than Sposor) |
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| Organizer Address |
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| Please list name(s) and other pertinent information for contacting your on-site representative during the event* |
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| Number of food/beverage booth spaces available* |
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| Are vendors required to meet an application deadline?* |
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| If yes, how will booths be constructed? |
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| How will solid waste (ie garbage, trash, hot charcoal, etc) be disposed of?* |
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| Indicate information regarding the toilet facilities to be made available to the public and vendors (Include the number of facilities, whether facilities will be permanent or portable. If facilities are portable, indicate source, delivery time, pick-up time and pertinent information raegarding service contract* |
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| Check all that apply |
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| Flier(s) or announcement sheet(s) used to advertise to the public |
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| A copy of the information being provided to prospective booth vendors |
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| List of Approved booth vendors (It is not mandatory that this list be submitted along with this completed application) |
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After this Organizer Agreement has been properly completed and returned along with the other requested information,
booth vedors MUST apply for a temporary food service permit |
If there will be a banquet, private party, or dinner held as a part of or in association with this
special event, please fill out the following: |
| Business Name (Licensed, Caterer or Food Service Establishment) |
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| Business Address |
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| Business Phone |
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| Owner/Operator Name |
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| Source of Food Service Permit |
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| Where will meal be served |
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| Time and date meal is to be served |
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| Menu/Foods to be served |
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| Information Submitted By* |
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| Telephone Number* |
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| Fax Number* |
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