APPLICATION FOR CONCESSION PARTICIPATION
Day in the Park 2012
MILLER PARK
Saturday, September 8, 2012
RAIN OR SHINE EVENT
Concession Fee $125; must be received with this application.
PLEASE COMPLETE THE FOLLOWING INFORMATION AND RETURN NO LATER THAN JULY 31, 2012 FOR INCLUSION IN THE EVENT MAP. PLEASE PRINT OR TYPE ONLY. THE DEADLINE WILL BE ENFORCED AND WE APPRECIATE YOUR COOPERATION. OUR PREFERRED METHOD OF COMMUNICATION WILL BE EMAIL, IF POSSIBLE.
1. Participating Organization: ______
A. Is your organization a registered non-profit organization? Yes / No
2. Organization Officers: 2 contact people
Complete name Address (incl. zip) Phone # Email ______
______
3. Brief description of sponsoring organization (give purpose, goals, etc): ______
______
______
4. Food to be sold (applies to concession booths only): ______
______
______
Note: The Junior League of Lynchburg reserves the right to limit the number of organizations selling any one food type. For example, if five organizations indicate they will sell hamburgers, we may request an organization or multiple organizations to offer a food type other than hamburgers for sale in order to participate. This will help every organization maximize profit and increase variety of goods offered. Additionally, if your organization indicates it will be selling certain food items and during event offers additional goods for sale without prior JLL approval, your request to participate in future Day In The Park events may be denied.
6. Will you need electricity? Yes ______No ______
If so, what type of electrical equipment will you be utilizing? ______
· Please answer all the questions and return your application no later than July 31st to:
Junior League of Lynchburg
1225 Main Street, Suite 204
Lynchburg, VA 24504
· PLEASE do not mail your application by certified mail; use regular mail only.
STATEMENT OF UNDERSTANDING
AGREEMENT between The Junior League of Lynchburg, Inc. (“Junior League”) and ______(“Participant”).
RECITAL: Participant desires to participate in The Day in the Park and to conduct the following activity:
______
______
______
On the date and time(s) of September 8, 2012 from 10:00am to 3:00pm in Miller Park.
Junior League hereby accepts Participant’s application and will include Participant in The Day in the Park activities on the following terms and conditions:
1. Participant shall be responsible for the conduct of the above-described activity. Junior League shall not be obligated for any dept incurred because of the Participant’s activity in Day in the Park.
2. Participant shall indemnify and save harmless and provide a defense for Junior League, its agents, employees, and officials from any and all liability, of whatever nature, arising from the above-described activity. Participant shall, upon the request of the Junior League, maintain and pay for public liability insurance, naming the Junior League of Lynchburg, Inc. as an insured party, to cover bodily injury per person, bodily injure per accident and property damage in the amount not less than $300,000 combined single limit to cover injuries to or death of person, or damage of property in connection with the above-described activity. Participant shall upon request provide proof of insurance to the Junior League.
3. Junior League reserves the right to select all events and to refuse participation to any organization or group whose program is determined solely within the discretion of the Junior League to be not in accord with the purposes or the best interests of Day in the Park. The sale of food, novelties and the like are permitted only if approved by the Junior League.
4. The Junior League will not give refunds due to inclimate weather.
By their signature hereto, the parties acknowledge they shall be bound by this Agreement and it has been executed pursuant to due authority.
Dated this ______day of ______, 2012.
______
Name of Organization (Participant)
By ______
Its duly authorized representative
(Legal Signature)
JUNIOR LEAGUE OF LYNCHBURG, INC.
By ______