Village of Bolingbrook



June 27, 2021       Noon - 6:00pm

2021 Picnic Online Registration Form


Participation Form

(All Details in this section are Mandatory, in case of Emergency.)

Organization or Non-Profit Name*
Your Name*
Phone (Mobile)*
Phone (Alternate)
Organization Email (We would like to start sending application packages electronically, please provide an organization general mailbox for future years. )*
1. What do you plan to do?*
2. Size of space needed:*
3. Food Tent Needed?*
If yes, how many food tents needed?
4. Tables Needed?*
Number of Tables x $15 (each table includes 2 chairs):
5. Electrical requirements (these need to be provided by the deadline date, limited availability):*
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 pulling (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, email your request to, first come first serve basis.)*

If Yes, please provide item name and price.

Item #1:
Item #2:
Item #3:

Please make checks payable to:

Village of Bolingbrook

Applications that require payment must mail check so that it is received by 6/21/21 or drop it off at Village Hall Executive Department: Attn: CCA - Picnic.

Mail payment to:

Village of Bolingbrook
CCA – Village Picnic
375 W. Briarcliff Rd
  Bolingbrook, IL60440