Event Application Form

Please complete this form in as much detail as possible and send to us by clicking 'Submit' at the bottom of the page.  We will be in touch upon receipt of the information.  Thank-you.

Date of application *
Date of application
(Today's Date)
Date of event *
Date of event
Name of applicant *
Name of applicant
Address of applicant *
Address of applicant
Are you a Non-Profit? *
Event contact person *
Event contact person
Contact phone number (daytime) *
Contact phone number (daytime)
Contact phone number (evenings) *
Contact phone number (evenings)
$
Are you requesting overnight camping? *
Will you be hosting any vendors? *
Are you planning on serving alcohol? *
Are you planning on providing or serving food ? *
Yes, I understand that selling/providing food and/or alcohol at this event may require licensing by the Town of West Windsor Selectboard and/or State of Vermont Liquor Board. *
I am aware and have such permits (if applicable).
(if applicable)
Insurance Policy Information
$
(*Both Ascutney Outdoors and the Town of West Windsor must be listed on the above-noted policy for the duration of the event.)