23rd Annual

Fall Festival @ Simpsonville

Saturday, September 8, 2012

Parade Registration Form

Parade Time: 1:00 PM

Arrival Time: Noon

Meet in Parking Lot beyond

Citizens Union Bank

(Corner of Shelbyville Rd.-US60

& Buck Creek Road)

Business/Organization Name: ______

Contact Person: ______

Address: ______

______

Email: ______Phone #: ______

Parade Entry Description (What you want announced during the parade):

______

For more information, Contact:

Chris Truelock–502-722-8793

Please Return Form To:

Simpsonville Parks & Recreation

P.O. Box 557

Simpsonville, KY 40067

Deadline: September 4, 2012!

Office Use:

Category #: ______Unit #: ______

23rd Annual

Fall Festival @ Simpsonville

Saturday, September 8, 2012

Event Sponsorship Form

Sponsor Name: ______
Contact Person: ______
Sponsor Address: ______
______
Email: ______
Phone #: ______
Sponsorship Payment due by Aug. 10
EVENT (please circle) SPONSORSHIP COST
5k Walk/Run$1000.00
Parade$1000.00
Breakfast $500.00
Children’s Pageant $500.00
Concession $500.00
Food Booth $500.00
Rides & Games $500.00
Corn Hole Tournament $400.00
Entertainment Stage $400.00
3 on 3 Basketball Tournament $400.00
OR
“Friends of the Festival” Donation
$______(Any Amount would be appreciated)

Office Use: Date Rec’d: ______Rec’d by: ______

23rd Annual

Fall Festival @ Simpsonville

Saturday, September 8, 2012

Plans are under way for the 23rd Annual Simpsonville Fall Festival that will be held on Saturday, September 8, 2012. This is the primary fundraiser for our Parks and Recreation Department and your participation will ensure that this event is a huge success. Once again we will be providing an area for Vending, Arts and Crafts and Community Information as part of our festivities.

This would be the perfect chance to:

  • Meet people
  • Answer questions about your business
  • Hand out flyers and business cards
  • Sell your product
Let the people of our area know what your business or organization has to offer.
(No Food, Drink, or Game Vendors of any Kind allowed)
Booth spaces are available and will be assigned on a first come first served basis.
Booth Spaces will be available for set-up any time from Friday, September 7th,
6:00 PM until Saturday, September 8th, 8:00 AM (security on grounds).
Booths are open from 8:00 am – End of event.
Prices are:Rental Space: 10’ x 10’- $35.00
(Tents are not provided but you are welcome to bring your own)
Optional: 8ft Rental Tables - $12.00; Chairs - $4.00 each
(Tables and Chairs are limited)
If you would like to set up a booth and guarantee space available, please complete and return the attached form along with your check or money order made payable to:
Simpsonville Parks and Recreation
Please return completed form and payment by September 3, 2012 to:
Simpsonville Parks and Recreation
P.O. Box 557
Simpsonville, KY 40067
For more information, please call Chris at 502-722-8793.
23rd Annual

Fall Festival @ Simpsonville

Saturday, September 8, 2012

Booth Registration Form

Business/ Organization Name:
Contact Person:
Type of Business/Organization or items selling:
Business Address:
Phone# :
Email:
Reserve______Spaces @ $35.00 each = $______
Reserve______8 Ft. Table @ $12.00 each = $______
Reserve______Chairs @ $ 4.00 each = $______
Please specify any special request (i.e.: electricity)______
______
***Form due by September 3, 2012 4pm***
Office use:
Date Paid:______Check #:______Cash:______
Amount: $______Rec’d by:______Booth #:______
23rd Annual

Fall Festival @ Simpsonville

Saturday, September 8, 2012

In-Kind Donation Form

Donor or Business Name:
Contact Person:
Donor or Business Address:
Email:
Phone #:
Donated Item Information – Please Return Form by Aug. 24
Item(s) to be donated (Please provide description):
Please mark all that apply:
Donor Will drop off Item(s) / Item Value:(optional)
Volunteer to Pick up Item(s)
Please return form to: / Simpsonville Park and Recreation
Attn: In-Kind Donation
P.O. Box 557
Simpsonville, KY 40067
Office: / 502-722-8793 / Fax: / 502-722-8119

Office Use: Date Rec’d: ______Rec’d by: ______



Simpsonville Fall Festival
Little Miss & Mister Pageant
Saturday, September 8, 2012 @ 2pm
Category / Age Group / Awards
King / Boys / 5-6 yrs. / $50 Savings Bond
Queen / Girls / 5-6 yrs. / $50 Savings Bond
Prince / Boys / 3-4 yrs. / Prize Package
Princess / Girls / 3-4 yrs. / Prize Package
2nd Duke / Boys / 2 yrs. / Prize Package
2nd Duchess / Girls / 2 yrs. / Prize Package
1st Duke / Boys / 1 yrs. / Prize Package
1st Duchess / Girls / 1 yrs. / Prize Package
2nd Bouncing Baby / Boys & Girls / 7 mos. – 11 mos. / Prize Package
1st Bouncing Baby / Boys & Girls / Newborn – 6 mos. / Prize Package
Rules:
  1. $15 Registration Fee
  2. No Formal Wear. Sunday outfits or casual wear only.
  3. Must reach the category age range before 9/8/12.
  4. Participants evaluated on Interview (King/ Queen & Prince/ Princess categories), personality, poise & appearance.
  5. Bouncing Baby,Duke and Duchess categories must be accompanied by an adult on stage.
  6. One winner in each category.
  7. Register now through 9/8/12 at 9am.
  8. Categories/ Age groups may be combined on pageant day based on number of entries.
  9. All contestants are encouraged to march in the Parade at 1pm.
  10. For more: contact us at 502-722-8793.

Registration Form Below!

2012 Simpsonville Fall Festival

Little Miss & Mister Registration Form

Official Entry/ Release

Entry Fee: $15

Child’s Name: ______Age ______(Circle) M F

Email: ______

Phone Number: ______Date of Birth: ______

School: ______

Interests/ Hobbies: ______

Pets: ______

Parent/ Guardian Signature:______Date: ______

In Person:Mail to:Drop Off:

Simpsonville City HallSimpsonville Parks and RecreationDrop Box (behind City Hall)

108 Old Veechdale RoadPO Box 55724/7

Simpsonville, KY 40067Simpsonville, KY 40067

(M-F 8am-4pm)