QB Family Day - Concession Application

Qualicum Beach Family Day

Please provide the following information if you are a local non-profit organization and interested in operating a concession area.

* required fields

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Indemnity Agreement *	Yes. I have read, understand and agree with the Indemnity Agreement.
Group Name *
Contact Person *
E-mail *
Phone
Cell
Mailing Address
Mailing Address 2
Postal Code
Please provide a description of your concession
Will you require water?	Yes   No
Will you require power?	Yes   No If yes, please describe what you will be powering
Comments
Enter Code *
Thank-you very much for your interest in supporting this year's Family Day, should you have any questions please do not hesitate to contact the planning committee. Entry Deadline: May 19, 2017 Phone: 250-738-2190 Email: [email protected]

PLEASE NOTE:

• Unfortunately the Family Day Organizing Committee cannot provide tables, chairs or tents for concession areas.
• Please be sure to obtain a Special Event Food Booth Permit from the Vancouver Island Health Authority, 292 West Hirst Ave. Parksville, B.C. Ph: 248-2044 Fax: 248-8624.