Bicentennial Vendor Application
EVENT DATE: Saturday, October 23, 2021 and Sunday, October 24, 2021
DURATION: Noon-5pm
WHERE: Freedom Park, 212 Skidmore Road, Pleasant Valley NY 12569
*Please note there is no rain date scheduled for this event*

Contact us at recreation@lagrangeny.gov or (845) 452-1972 with any questions.

DEADLINE FOR APPLICATIONS:
October 1st, 11:59pm for Bicentennial Weekend Vendor
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Organization Name *
Organization Address *
Organization/Business Website *
Facebook Page Name *
Instagram Account Name *
Lead Contact Name *
Lead Contact Email *
Lead Contact Phone Number *
Vendor Spot (8 feet) - Due by 10/1 *
**VENDOR INFORMATION**
SET UP:
Begins at 9am (recommended arrival)
Please park in main lot and check in with our vendor representative upon arrival.
Vendor spots in pavilion will be marked and you will receive a map to find your spot.
Please be fully set up by 11:30am and we ask that you don’t break down until 5pm.

SPONSORS WITH A COMPLIMENTARY VENDOR SPACE:
Payment and artwork is due by 8/31 to ensure your ad is in the Bicentennial Weekend guide mailed to 5,200+ residents prior to the event.

VENDORS ONLY:
Cost: $20/day, $30 for both days
Payment is due within 7 days of application approval.

Checks should be made out to “Town Of LaGrange” and dropped off or mailed to:
LaGrange Parks and Recreation, 120 Stringham Road, LaGrangeville. NY 12540.

IMPORTANT INFORMATION:
*No tents (unless previously discussed). We are under a large pavilion.
*Spaces are approximately 8 feet.
*Your space is post to post (unless previously discussed); please do not extend beyond.
*Please set up your table to face the grass with your back to the stream.
*Vendors must supply their own table and chairs.
*Please bring your own supplies needed to set up your booth (scissors, tape, electrical cords if applicable, tacks, chairs, tables, displays, decorations,etc.)
*Electricity is not guaranteed.
*Some vendors may be required to provide Certificate of Insurance naming the Town of LaGrange additionally insured. If you plan to have a demonstration or activity of any kind, we will need a copy on file.
*If you are selling food, you must submit a Health Department Permit at least 30 days prior to the event. We will need a copy on file.
*Only prior approved sale or food items, giveaways, and activities will be allowed.
*No dogs and no smoking of any kind allowed anywhere in the park.

Please note: This application does NOT guarantee approval of a vendor spot. The Parks and Recreation Director and Town Board have the right to deny the application.
COMMUNITY ASSOCIATIONS: What will you be offering the community at your booth?
VENDORS: What type of merchandise you will be selling?
PERMISSION/AGREE TO HOLD HARMLESS
As the participant signed below, knowing fully that the Town of LaGrange Parks and Recreation Department provides the program activity, and or special event and all aspects associated with these being; Facility(s), Instructor(s), Equipment and Supervision, I hereby: 1. Agree to furnish my own insurance in case of injury, 2. Assume all risks and responsibilities of possible injury invovled with participating in this program, 3. Testify that I am in sound health and capable of participating in the registered program, 4. Further agree to indemnify and hold harmless the Town of LaGrange, Parks and Recreation Department or employees, to include volunteers, from liability resulting from my participation in this program, activity or special event.
Signature of Individual. Please type full name here and click "Accept" in following question if you have read the Permission/Agree To Hold Harmless statement above. *
By clicking "Accept" below, I confirm my intent to sign this agreement electronically. *
I understand this application does not ensure entry until the Recreation Department has received payment. I understand this application will be reviewed and approved or denied by the Director. *
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