Valley Stream Community Fest 2019
This form should be used by all persons or groups wishing to participate in the VS Community Fest 2019 event.
Email address *
The Fest will take place on Saturday, September 28th, 2019 between 10am and 5pm.
If you would like to participate in the 2019 Valley Stream Community Fest, please complete the below application. Upon completion, someone will reach out to you with instructions on how to submit payment if approved. Please note that participation is not guaranteed until approved.
Have you previously participated? *
Are you a business on Rockaway Avenue? *
Are you a member of the Valley Stream Chamber of Commerce? *
How will you be participating? *
Please select all that apply.
Required
First Name *
Your answer
Last Name *
Your answer
Business/Company/Organization/Group Name
Your answer
Phone Number *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
If you are participating on the day of the event please describe what you will be offering.
What are you selling? What activities are you hosting? etc.
Your answer
I understand that my application is NOT complete until payment is received. If payment is received on the day of the Fest, the price will rise to $100. Payments can be made through PayPal or check. Upon completion, someone will reach out to you with instructions on how to submit payment if approved. Please note that participation is not guaranteed until approved. Please print your name below to acknowledge that you understand: *
Your answer
I/we understand that as a participant of the Valley Stream Community Fest I/we shall save and hold the Inc. Village of Valley Stream harmless from all liabilities, charges, expenses (including counsel fees), and costs on account of all claims for damages and otherwise and/or suits for or by reason of any injury or injuries to any person or property of any kind whatsoever, whether the person or property of the above named organization, its agents or employees or third persons, arising from any cause or causes whatsoever in the conduct of said special event occasioned by the occupancy or use of the here named Village facility: TEMPORARILY CLOSING OF ROCKAWAY AVENUE BETWEEN MERRICK ROAD & THE LIRR OVERPASS FOR THE ANNUAL VALLEY STREAM COMMUNITY FEST ON SATURDAY, SEPT. 28, 2019 FROM 10:00 A.M. – 5:00 P.M. – ROCKAWAY AVE. WILL BE CLOSED FROM 8:00 A.M. FOR SET-UP UNTIL STREET CLEARED – *
Required
Please print your name here if you understand the above "Hold Harmless Agreement". *
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google.