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2. First Name
3. Last Name
5. Address
7. City
8. State
9. Zip Code
11. Cell Phone Number
12. Email Address
14. Application to be a Concessionaire at the following location*

    1. Angel Street Soccer Complex
    2. Bishop's Field
    3. Gailey Park
    4. Heritage Park
    5. Pioneer Park
    6. Ponds Park
    7. Ponds Park South
15. Park Location*

    Describe in detail location of proposed stand.  Example: near the pavilion

17. Business License *

    1. I have a Temporary Merchant business license
    2. I do not have a Temporary Merchant business license but understand I need to obtain one before my application can be approved

    Utah State requires that all businesses operating in Utah be registered with the Department of Commerce and licensed wiht a city or county in the state.  It is required that anyone engaged in business in Kaysville City obtain a city business license.

    A Concessionaire may qualify for a Temporary Merchant. Additional information and application can be found on this website. https://www.kaysville.gov/200/Temporary-Merchants-Fireworks-Sales-Food

    
    

19. Name of Business*
21. Products to sell and proposed prices*
23. Dates and times of proposed concession stand*
25. Description of stand. Example: Food truck; easyup with table and chairs etc.*
27. Screening*

    1. Yes
    2. No

    I understand I may be subject to a drug screen and background check

29. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
31. Electronic Signature
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field