2021 Brewer Registration Form
Date: Saturday2021 Brewery Application Buellton Brew Fest, May 7, 2022
Time: 11:30a.m. VIP Entry / 12:30p.m. General Admission / 4p.m. Last Pour
Location: River View Park, 151 Sycamore Dr., Buellton, CA 93427
Brewery Name *
How will you get your beer to the event? *
Contact Person, Name & Title *
Mailing Address *
Street Address
City, State, Zip *
Phone *
Email *
Website *
What to Bring / Insurance Requirements *
We ask that you bring at least 2 styles of your most popular and/or unique beers (most breweries bring a 15-gallon keg per style with a backup 1/6th barrel of their most popular). We also ask that you bring a special beer to pour during the VIP hour (11:30 a.m. – 12:30 p.m). The VIP beer is not a requirement. You will also need to bring draft equipment and other customary stuff including a pop up 10’ x 10’ tent. Please bring as many employees as possible to be part of this event, but keep in mind we can only offer four (4) complimentary passes for brewery employees; and up to six (6) purchased VIP PASSES at a discounted rate. Email info@surbeerfest.com for discounted tickets. INSURANCE REQUIREMENTS: Buellton Brew Fest special event insurance carrier requires that all participating breweries, vendors and contractors are required to name Buellton Chamber of Commerce (597 Avenue of Flags, Unit 101 Buellton, CA 93427) as an additional insured for the Buellton Brew Fest at River View Park, 151 Sycamore Dr., Buellton, CA 93427. THIS IS BECOMING CUSTOMARY FOR FESTIVALS AND SHOULD NOT BE A PROBLEM FOR YOUR INSURANCE CARRIER. Please provide a copy of your insurance certificate by Friday, September 24, 2021 by email to info@surfbeerfest.com or mail to the address, 597 Avenue of Flags, Unit 101, Buellton, CA 93427. I have read the above and understand what is required of me.
Brewery registration for the Buellton Brew Fest is incomplete until the registration form and the certificate of insurance have been provided. Should you have any questions or concerns, contact Kathy Vreeland at (805) 688-7829 or email info@surfbeerfest.com. *
Attach Insurance Certificate with email or send to the address below. *
Buellton Chamber of Commerce, 597 Avenue of Flags, Unit 101, Buellton, CA 93427
Brewery Agreement - Buellton Brew Fest: Saturday, May 7, 2022 *
RELEASE OF LIABILITY: The Brewery, for herself/himself and successors, assigns, heirs, estate, employees, and all other persons, known or unknown, being fully aware that participation will expose her/him to a risk of property damage, bodily injury, personal injury and/or death, hereby releases, waives, discharges and covenants not to sue Buellton Chamber of Commerce / Buellton Brew Fest, their officers, directors, trustees, employees, agents, representatives, volunteers, and servants, and all other persons and associates connected with the event titled BUELLTON BREW FEST, and any other sponsors, individuals, or corporations associated with BUELLTON BREW FEST whether known or unknown (HEREIN AFTER COLLECTIVELY “SPONSORS”), from any and all liability, including for activity or passive negligence, for any and all property damage, personal injuries, bodily injury, death and/or other claims or causes of action arising out of or relating to the Brewery’s participation in BUELLTON BREW FEST, INCLUDING THOSE CLAIMS WHICH ARE KNOWN AND UNKNOWN, FORESEEN AND UNFORESEEN, FUTURE OR CONTINGENCY. COVENANT NOT TO SUE: The Brewery/Brewery Representative, for herself/himself and successors, assigns, heirs, estate, employees, and all other persons, known or unknown, covenants not to directly or indirectly commence or prosecute any action, suit, claim or other proceeding against the Sponsors arising out of or related to BUELLTON BREW FEST. The Brewery/Brewery Representative is aware of Civil Code 1542 and waives its effect. Civil Code 1542 provides: “A general release does not extend to claims which the creditor does not know or suspect to exist in his favor at the time of executing this release, which if known by him must have materially affected his settlement with the debtor.” INDEMNITY AGREEMENT: Brewery/Brewery Representative shall indemnify and hold harmless the Sponsors against any and all claims, demands, causes of action, personal injuries, death, damage, costs and liabilities, in equity, of every kind and nature, whatsoever, directly or proximately resulting or caused by the act or omission of the Brewery/Brewery Representative, or any of its officers, agents, employees, guests, patrons, or invitees, and the Brewery/Brewery Representative shall, at its sole risk and expense, defend any and all suits, actions or other legal binding proceedings which may be brought or instituted against any Sponsor or any such claim, demand or cause of action, and the Brewery/Brewery Representative shall pay and satisfy any judgment or decree which may be rendered against any Sponsor in any suit, action or other legal proceedings, and the Brewery/Brewery Representative shall pay for any and all damaged or loss to the property of any Sponsor due to such loss or theft of such property, done or caused by the Brewery/Brewery Representative, its officers, employees, guests, patrons, and invitees.
I have read the above and understand what is required of me. *
If you have any questions please contact Kathy Vreeland 805-688-7829, 597 Avenue of Flags, Unit 101 Buellton, CA 93427 or email at: kathy@buellton.org
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