2024 Picnic Online Registration Form40th ANNUAL VILLAGE OF BOLINGBROOK PICNIC - 2024Participation Form* REQUIRED(All Details in this section are Mandatory, in case of Emergency.)Organization or Non-Profit Name* RequiredYour Name* Required First Last Address:* Required Street AddressCityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState / Province / RegionPostal / Zip CodePhone (Mobile)* Required Area Code - Phone Number Phone (Alternate) Area Code - Phone Number Organization Email (We now send application packages electronically, please provide an organization general mailbox for future years. )* Required1. What do you plan to do?* Required2. Size of space needed:* Required10x1010x1515x153. Food Tent Needed?* RequiredYESNOIf yes, how many food tents needed?4. Tables Needed?* RequiredYESNONumber of Tables x $15 (each table includes 2 chairs):5. Electrical requirements (these need to be provided by the deadline date, limited availability):* RequiredYESNO-- A. Number of 110v/20w electrical outlets required (must be answered to receive electric):-- B. What are outlets to be used for?C. Amount of amperage (not watts) you will be using (must be answered to receive electric):6. Do you plan on selling food and/or beverages of your own, if so please provide the following information? (Booth Fee - $25 which includes 1 table and 2 chairs.) (Don’t forget to fill out your Will County Health Department Form and send it in at least 10 days prior to event.) (This question is not for running a Village sponsored booth. If your organization would like to help run a Village sponsored Food Booth and receive a donation for helping us, email your request to info@bbcca.org, first come first serve basis and will cost you nothing to help us.)* RequiredYESNOIf Yes, please provide item name and price.Item #1:Item #2:Item #3:Please make checks payable to:Village of BolingbrookApplications that require payment must mail check so that it is received by 6/25/24 or drop it off at Village Hall Executive Department: Attn: CCA - Picnic.Mail payment to:Village of BolingbrookCCA – Village Picnic375 W. Briarcliff RdBolingbrook, IL60440Submit Picnic FormReset