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2. Business*
3. Contact Name*
5. Address*
7. City*
8. State*
9. Zip*
11. Phone*
12. Email*
14. Website
15. Logo for promotional purposes
17. Date(s) of event*
19. Describe Menu*
21. Kids Menu or child friendly options available?*

    1. Yes
    2. No
22. Average Ticket Time*
26. Certificate of Insurance

    Must submit current Certificate of Insurance listing Carbon Valley Parks and Recreation District as Additionally Insured (701 5th Street, Frederick, CO 80530).

27. Current Colorado Mobile License

    Note: Weld County Environmental Health Services does not recognize City and County of Denver licenses. All Denver licenses will be rejected.

29. Site Information

    The Cove does not provide electricity of any kind for food trucks. Set-up is minimum of 30 minutes prior to advertised event time in northwest corner of the parking lot at The Cove at Barefoot Lakes, 12636 Park View St., Firestone, CO 80504. The Cove will provide some tables and chairs in lawn area near parking lot. Kindly provide at least 48 hours notice if you need to cancel your attendance. 

33. By signing below, vendor recognizes and acknowledges the he/she assumes full risk of any injuries, property damage or loss which he/she may sustain as a result of his/her involvement with CVPRD and The Cove. Vendor agrees to indemnify and hold harmless CVPRD, The Cove, its officers, employees and insurers from any and all liability for any damage, loss, injury or costs associated with or arising from his/her actions or omissions in connection with his/her participation in said events. 

35. First and Last Name*
36. Date*
    Date
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit Submit and Print

* indicates a required field