Vendor Application Form

Vendor Application Form

Please complete this form no later than 10 DAYS prior to race day. Applications submitted without uploading required documents will be automatically rejected. A NEW application is required if your original application has been rejected.
Vendor name

FirstLast
Next Race Day (Please review for accuracy)

MonthDayYear
Date
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Business Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Company Name
Description of Goods to be sold:
Please list all items to be sold. Any discrepancy may result in additional fees.
Type of Vendor
VENDOR FOOD PREPARATION AND HANDLING SPECIFICATIONS (CHECK ALL THAT APPLY)
IF YOU SELECTED ELECTRICITY REQUIRED PLEASE PROVIDE A BRIEF DESCRIPTION OF YOUR ELECTRICAL NEEDS AND ITS PURPOSE:
(e.g., electricity needed for Air Fryer, or Popcorn maker)
All three boxes must be checked for your application to be deemed eligible.
Vendor Hold Harmless Agreement Clause:
By submitting this application, the vendor agrees to indemnify, defend, and hold harmless Southland Gaming of the Virgin Islands (SGVI), the Department of Sports, Parks, and Recreation (DSPR), Clinton E. Phipps Racetrack, and their respective officers, employees, agents, volunteers, and affiliates from and against any and all claims, damages, injuries, losses, liabilities, costs, and expenses (including attorney’s fees) arising out of or related to the vendor’s
participation in the event.
This includes, but is not limited to, any claims for personal injury, property damage, fire, theft, product liability, or foodborne illness that result from the actions, omissions, or negligence of the vendor or its employees, representatives, or subcontractors. The vendor further acknowledges that participation in the event is at their own risk and agrees to assume full responsibility for any such occurrences.
Signature
Date

MonthDayYear
Date
Limitation of Liability Clause:
The Vendor acknowledges that they are participating at their own risk and agrees that Southland Gaming of the Virgin Islands (SGVI), DSPR, and the Clinton E. Phipps Racetrack are not liable for any loss, injury, damage, theft, or destruction of property during setup, event hours, or breakdown. This includes, but is not limited to, any damages caused by weather, fire, equipment failure, or acts of third parties. The Vendor assumes all risk of participation and waives any right to bring legal action against the event organizers.
Signature
Date

MonthDayYear
Date
License plate number
Make/Model of car
Photo of vehicle (License Plate Must be visible and current)

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Upload Supporting Documents (e.g., Business License, Health Permits, Valid Health Card)

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Vendor Application Form

Vendor Fee Schedule (You must select all goods to be sold for accurate pricing)*

Vendor Fee Schedule (You must select all goods to be sold for accurate pricing)