2. Celebrate Purcellville
   October 2-8, 2023

   Sunday, October 8th - Finale in Dillon's Woods | Purcellville, Virginia

4. About Celebrate Purcellville:

   The Purcellville Parks and Recreation Advisory Board and the Town of Purcellville are co-hosting the 3rd Annual Celebrate Purcellville from October 2-8, 2023. This week-long event encourages people to visit businesses and organizations in Purcellville and enjoy the historical and cultural aspects of town.

   The event will include a passport program in which participating businesses and organizations will be listed. At the end of the week-long celebration, people can turn in their passports with stickers showing which businesses and organizations they visited for a chance to win a prize. Drawings will take place on Sunday, October 8th in Dillon's Woods. 

   How it works:

   • Businesses and organizations complete the application, meet the requirements, and agree to the participation rules. Complete your application by September 16, 2023!
     
   • Share with your clients and followers that your business/organization is participating in the 2023 Celebrate Purcellville passport program.
   • People will visit your business from October 2 - 8, 2023 to get a sticker in their 2023 Celebrate Purcellville Passports. Please note, purchase isn’t necessary for people to get a sticker from participating businesses. When people come to your business for a sticker, be sure to tell them about your business, what you have to offer, and something to help them remember your business and come back!
   • If your business or non-profit doesn't have a building/office for people to visit during the week, you can still participate by having a display in Dillon's Woods on Sunday, October 8!
   • Optional: Offer a discount, give out coupons, have a branded giveaway, or other special for people who show their passports to encourage them to come back to your business in the future.
   • Participation is FREE!
6. Contact Name:*
7. Phone Number:*
9. Email:*
11. Business/Organization Name:*
13. Business/Organization Address:*
14. City/State/Zip:*
16. Business/Organization Website or Facebook Page:*
18. Description of Business Organization:*
19. Business/Organization Category:*
    -- Select One --Restaurant/DiningBeverageRetailSportsServicesArt/MusicNon-profitCharityOther
21. Is your business or organization physically located in the Town of Purcellville?*

    Only businesses and organizations inside the incorporated limits of Town are eligible to participate in Celebrate Purcellville.

    1. Yes
    2. No
    3. Don't know
23. For businesses: does your business have a current Town of Purcellville business license?*

    Only businesses with a current Town of Purcellville business license are eligible to participate in Celebrate Purcellville. 

    1. Yes
    2. No
    3. We are a non-profit organization
25. For non-profit organizations: is your organization IRS tax-exempt and have a 501c designation?*

    1. Yes
    2. No
    3. We are a business
27. Is your business/organization open to the public?*

    1. Yes
    2. No
29. Would your business/organization like to have a 10x10 space in Dillon's Woods on Sunday, October 8 from noon to 5 p.m.?*

    I understand and agree that I will provide my own table, chairs, canopy with anchors/weights. I understand that I will be responsible for my own loading, unloading, set up, and clean up.

    1. Yes
    2. No
31. I will donate an item to be given as a prize for those who participated in the Celebrate Purcellville Passport program.*

    1. Yes (please describe below)
    2. No
33. If you are going to donate an item to be part of the prize packages that will be awarded on October 8, please describe it below so we can include that in our marketing and promotional efforts.
35. Upload a high resolution file of your logo. PLEASE ONLY UPLOAD A JPG FILE.*
37. How did you hear about Celebrate Purcellville?*

    1. Press release
    2. Facebook
    3. Email
    4. Newspaper article
    5. Word of mouth
    6. Other
39. Vendor Responsibilities. Check each box to agree to the following:*

    1. My business/organization will participate in Celebrate Purcellville from October 2-8, 2023.
    2. We will display a flyer, which will be provided, in the business/organizations to indicate that we are participating in Celebrate Purcellville.
    3. We will place a sticker in the Celebrate Purcellville passports to visitors who present them to us during the week of October 2-8, 2023.
    4. I understand that purchase is not required to get a passport sticker.
    5. We will help promote Celebrate Purcellville on our website and/or social media.
    6. I understand that the Town will have a Celebrate Purcellville web page where all of the participating businesses and organizations will be listed with their logo, address, web, or Facebook address.
    7. I understand the Town will create a Celebrate Purcellville Passport that can be picked up at designated locations and that can be downloaded and printed by people who would like to use it.
41. Celebrate Purcellville Participation Waiter and Release Form*

    By checking the box, the Entrant: (i) attests that he or she understands and shall comply with all of the guidelines and information provided on this Festival Application.

    The Exhibitor/Entrant, by his authorized signature, hereby agrees to indemnify, hold harmless, and defend the Town of Purcellville, Virginia, its elected and appointed officials, employees, agents and successors in interest from all claims, damages, losses and expenses including attorneys’ fees, arising out of or resulting, directly or indirectly, from the Entrant’s participation in Celebrate Purcellville, provided that such claim, damage, loss or expense is: (1) attributable to personal injury, bodily injury, sickness, death, or to injury or destruction of property, including the loss of use resulting there from, and (2) not caused by the grossly negligent act or omission, or willful misconduct of the Town of Purcellville, Virginia, its elected and appointed officials, or its employees acting within the scope of their employment. This Hold Harmless and Indemnification Clause shall in no way be limited by any financial responsibility or insurance requirements and shall survive the termination of this Entrant's Application Form. The Entrant understands that any misrepresentation in this application, deviation from the final approved specifications and activities described herein, or failure to abide by all Federal, State and Local laws, ordinances, policies and procedures may result in the immediate revocation of this approved Event Entrant's Permit and refusal to issue a permit in the future. The Exhibitor/Entrant, by his authorized signature below, hereby authorizes the Town and/or its designee(s) to take photographs, videotape, record, or produce communications for this and/or future events for publicity, promotion, and media coverage.

    1. Yes, I have read, understood, and agree to the participation waiver and release.
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43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

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