Online Form - Temporary Organizer Agreement

Temporary Organizer Agreement

Asterisks (*) indicate required fields

Today's Date *

Name of Special Event *

Date(s) of Special Event *

Times of Operation *

Location of Event *

Name of Sponsor (Person and/or Organization) *

Phone *

Email *

Sponsor Address *

City *

State *

Zip *

Organizer (if different than Sponsor)

Phone

Organizer Address

City

State

Zip

Please list name(s) and other pertinent information for contacting your on-site representative during the event *

Number of food/beverage booth spaces available *

Are vendors required to meet an application deadline? *

Yes

How will the booths be constructed?

How will solid waste (ie garbage, trash, hot charcoal, etc) be disposed of? *

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 regarding service contract *

Check all that apply

Electricity will be provided by Organizers for vendors

Water hook-ups will be provided for mobile food units

Portable water will be available to on-site vendors

Organizers will supply garbage containers for individual booths

Flier(s) or announcement sheet(s) used to advertise to the public

A copy of the information being provided to prospective booth vendors

List of Approved booth vendors (It is not mandatory that this list be submitted along with this completed application)

After this Organizer Agreement has been properly completed and returned along with the other requested information, booth vendors 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)

Business Address

Business Phone

Owner/Operator Name

Source of Food Service Permit

Where will meal be served

Time and date meal is to be served

Menu/Foods to be served

Information Submitted By *

Telephone Number *

Fax Number *