January 18, 2020 Darwin Villaruz Fiesta De Los Penaquitos 2020 Registration 25th Fiesta De Los Peñaquitos Booth ApplicationBooth Registration DEADLINE for Booth applications is April 11, 2020. There is a 10% late fee for Applications received after April 11, 2020. ** Program will be published April 18, 2020. Applications received after this date will NOT appear in the program. Event Coordinator: Fiesta Committee Ph 858-848-7782 Email: Fiesta.rptc@gmail.com Please enable JavaScript in your browser to complete this form.Business Name *Booth Selection - Fee Includes: 10' x 10' booth space and program listing *Please Select Business Booth - $300Food Booth - $400Non-Profit Organization - $150Arts 7 Crafts - $125Platinum Level Community & Business Partners Booth - $250Platinum Level Community & Business PartnersPlease add me to the mailing list for Fiesta De Los Penaquitos 2021.● One 8’ table with cover/skirt, two chairsBusiness BoothPlease contact me to be a Platinum Level Community & Business Partners● One 8’ table with cover/skirt – two chairs ● *To become a Community Partner email kateglenn.rptc@gmail.com, 858-848-7782 Food Booth *Seller’s & Health Permits and proof of $1 Million of General Liability Insurance *San Diego County Department of Health Will inspect all booths - please insure your booth is compliant with all Health Dept. Regulations including proper sinks, water supplies and type of fire extinguisher. Non-Profit Organization * I agree not to sell Food or Drinks in the booth. ● One 8’ table with cover/skirt, two chairsArts 7 Crafts Booth *All items for sale are handmade by the person selling them. And I agree not to sell Food or Drinks in the booth.● Certain categories will be limited in booth spaces. Food VendorSelling Pre-Packaged FoodNot Selling Pre-Package FoodTemporary Food Permit ID: Click or drag a file to this area to upload. Expiration of Temporary Food Permit ID: Insurance Requirements: Please click here for Insurance Requirements Note: Please review pages 10-14 on insurance requirements. Required for all organizations: Insurance coverage types, Policy numbers, Expirations dates and Policy limits. Please upload or email Fiesta.rptc@gmail.com Copy of Insurance when available.* Please name "Rancho Penaquitos Town Council and The City of San Diego" as additional insured. Click or drag a file to this area to upload. *Additional insured required language “The Rancho Penaquitos Town Council and The City of San Diego, its respective elected official officers, employees, a nd volunteers” Name *FirstLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMobile Phone *Home PhoneFax NumberEmail *EmailConfirm EmailDescribe All items to be sold/displayed or handed out* *Photo of booth and products(s) Click or drag files to this area to upload. You can upload up to 2 files. Booth Extras10'x10' - Canopy - $100Table Skirt - $30Chair - $5Screens (Food) - $60*Electricity - $60**Corner Booth - $75*Electricity hookup is 15 amps; call for quote over 15 amps. You must provide 20-foot, commercial type grounded extension cord. ** Corner Booth - You will be notified of which corner booths are still avaiable.How did you hear about this event? *Friend or colleagueRadio / TVSocial MediaOtherLiability Release Statement *I AgreeVendor shall indemnify, defend, and hold harmless the Peñasquitos Town Council, and its respective board members, their officers, employees, agents, representatives and volunteers from and against any and all liability, loss, damage, expense, costs (including without limitation costs and fees of litigation) of every nature arising out of or in connection with Vendor’s activities of any nature associated with the Fiesta de Peñasquitos hereunder or its failure to comply with any of its obligations under state or local law, except for such claims for loss or damage which are caused by the sole negligence and/or willful misconduct of the Peñasquitos Town Council and/or its members, agents, employees or volunteers. Signature *Clear SignatureTotal *$ 0.00Stripe Credit Card *CardName on CardNameSubmit Application