Restaurant Registration Form

Board of Health Form: Required for All participants
Please complete by May 10th

* Indicates required field

Restaurant/Caterer/Company Name *

Contact Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Cell Phone Number (day of event) *

At the request of the Falmouth Board of Health, please provide a brief description of foods and/or beverages to be served: *

I will maintain and monitor hourly the foods listed above at the following temperatures: COLD FOODS at 40 degrees F or less; HOT FOODS at 140 degrees F or above. I plan to keep products at the required temperatures during travel and throughout the event by the following method/efforts: *

I will frequently utilize the hand-washing station provided by VIPS: *

I will require my servers to wear gloves provided by VIPS and change them as required by the Dept. of Health *

There will be no customer self-service of my products *

By checking the YES box, I am agreeing to participate in the 17th annual Feasts of Falmouth & Beyond event, Friday June 7th. Set up time is 3:30 p.m. *

YES

Allergen Awareness Certificate: Upload File *

Max file size: 20MB

Food Service Permit (non Falmouth-based establishments) *

Max file size: 20MB

IF SERVING BEER OR WINE: TIPS Certification Card *

Max file size: 20MB

IF SERVING BEER OR WINE: Certificate of liquor liability insurance *

Max file size: 20MB

Submit

Photos from the 2018 Feasts of Falmouth & Beyond event courtesy of Lee Geishecker, View Photography

Board of Health Form: Required for All participantsPlease complete by May 10th

Board of Health Form: Required for All participants
Please complete by May 10th