Event Information:

Event Name:*

Event Location:*

Event Dates:*

1. Vendor Information:

Business Name:*

Applicant Name:*

Mailing Address:*

Mailing City:*

Mailing State:*

Mailing Zip Code:*

Phone Number:*

Email:*

2. Vendor Type:

Vendor Type (select one):*
Food VendorCraft/Art VendorMerchandise VendorNon-ProfitInformational BoothOther (Describe below)
If you chose “Other” above, provide a description:

Description of Items/Services:*

3. Booth Details:

Booth Number will be assigned by the City.
Power Needed:* YesNo
Water Needed:* YesNo (No Water will be provided during this event.)

4. Setup & Operation:

Setup Date/Time:*

Operation Hours:*

Tear Down Date/Time:*

5. Compliance Requirements:

I agree to:
• Comply with all City of Weippe ordinances:* Yes
• Idaho health permit attached (if food vendor): AttachedNot applicable
• Comply with Idaho sales tax regulations:* YesNot applicable
• Fire safety requirements met (if applicable): YesNot applicable

6. Rules & Conditions:

I understand and will abide by the following rules and conditions:* Yes
• Vendors must remain within assigned space.
• No unauthorized vehicles during event hours.
• Vendors are responsible for their own trash removal.
• City may revoke permit for non-compliance.

7. Liability Waiver:

Vendor agrees to indemnify and hold harmless the City of Weippe from any claims, damages, or injuries arising from participation in this event.* Yes

Certification & Consent:*

By submitting this form, I certify that the information provided in this application is true and correct. Furthermore, I agree with City of Weippe’s privacy policy statement, which can be found in the footer of this page.

I consent to having the City of Weippe collect my name and email to receive occasional announcements and newsletters. The City of Weippe will never sell your information, and you are welcome to opt-out of our mailing list at any time.
YesNo