Registration Form
Saranac Lake Block Party - "Community Spirit"
Presented by Your Local Concierge
in conjunction with the Village of Saranac Lake
Thursday, August 4th 2011
Main Street
1 pm to 7pm
Business Name: ______________________________________________________________________
Contact: ____________________________________________________________________________
Address: ___________________________________________________________________________
Phone:______________________________________________________________________________
Fax: _______________________________________________________________________________
Website:____________________________________________________________________________
Email: ______________________________________________________________________________
Hours During Event: ___________________________________________________________________

Description of services/products/local appreciation offered during the event
(this promotion will announced throughout the event):
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

 
A portion of the proceeds will be donated to local organizations.

Vendor terms:
1. The cost for is per 10 x 12 area: $65.00 fee for all street vendors. Non-profit agencies are $50.00.
All fees are non-refundable. The event will be rain or shine. Checks are made payable to Your Local
Concierge, send to 119 Franklin Avenue, Saranac Lake, NY 12983.

2. Return this form, copy of your liability insurance, copy of food permit (if required) and payment no later than July 20, 2011. Liability insurance – 2 copies one needs to name Village of Saranac Lake, 3 Main St. Saranac Lake, NY 12983 and one Your Local Concierge see address above.

3. The event organizers do not provide a tent for space for the vendor. It is the vendor’s obligation to
provide any tables and chairs or equipment.

4. No vendors will be allowed to sell silly string or similar products during the event.

5. The vendor shall attend event and be open for business at the times during the following hours:
1pm to 7pm.

6. If you are selling food items, you are required to have a temporary Food Permit unless you are a
non-profit agency selling baked goods. To obtain one is $30 and available at the local Health
Department, 891-1800, 30 day lead time is preferred. We will need a copy of the permit prior to the
event.

7. Breakdown and clean-up of Vendor site shall begin at 7:00 pm, not any earlier unless approved by
event organizer and be completed by 8:00 PM on that day.

8. The Vendor shall be responsible for proper disposal of all waste. Carry in and carry out.

9. The Saranac Lake Block Party, Your Local Concierge, and the Village of Saranac Lake shall not be
responsible for any loss or damage to the Vendor’s site or to its contents from any act or omission.

By signing this agreement the Vendor hereby agrees to indemnify and hold harmless The Saranac
Lake Block Party, Your Local Concierge, and the Village of Saranac Lake from and against any and all
claims, including without limitation, all claims for personal injury or property damage arising from the
conduct of any work or by or through any act or omission of The Saranac Lake Block Party, Your Local
Concierge, and the Village of Saranac Lake and all costs, attorney fees, expenses and liabilities
incurred in connection with any such claim or any action or proceeding brought as a result thereof.

Vendor:
Date:
Approved:

We will notify you in advance of your location
If you should have any questions or concerns contact Sandy Bandru at 518-891-3542, 518-637-1069 or
info@yourlocalconcierge.com

We look forward to having another great event! Thank you for your participation.

Printable view registration form

Thank you for your continued support, together we can live, work and thrive!

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