Farmer's Market Food Vendor Application

Contact Information

* Business Name

* Contact Name

* Address

* City

* Phone xxx-xxx-xxxx

* Email

Market Attendance

* Which markets will you be attending?

• Beamsville
• Bridgeburg
• Brock
• Crystal Beach
• Grimsby
• Fort Erie - Race Track
• Niagara Falls
• Niagara Falls GFN
• Niagara-on-the-Lake
• Pelham
• Port Colborne (Municipal)
• Port Colborne (Westside Arena)
• Ridgeway (Summer Market)
• Ridgeway (Winter Market)
• Sherkston
• Smithville
• Stevensville
• St. Catharines (Market Square)
• St. Catharines (Bunting and Carlton)
• Welland (Market Square)
• Welland (Seaway Mall)

Vendor Information

* Type of Booth

• Temporary
• Indoor Booth (with plumbing and hydro)
• Mobile Preparation Premise / Trailer/ Food Truck

* Type of Vendor

• Farmer
• Commercial Food Vendor

* Food Offered for Sale

Food Preparation Information

* This is an inspected facility

• Yes
• No

* Facility Water Supply

• Municipal
• Private (well or cistern)

* How are hazardous foods being transported?

* approved

Personal Information and Privacy

Any personal information or personal health information submitted in writing will be collected, used and disclosed by members of Regional Council and Regional staff in accordance with the Municipal Freedom of Information and Protection of Privacy Act or the Personal Health Information Protection Act, where applicable.

Any information you share will be used only for the intended purpose for which it was provided. If you have any questions, email our Access and Privacy Office or call 905-980-6000 ext. 3779.