Trunk or Treat Entry Form
Friday, October 25, 2019
THE EVENT WILL BEGIN AT 5:00 PM
(SETUP AS EARLY AS 3:00 PM)
No Entrants will be permitted in the assembly area prior to 3:00 PM
Please turn your application form in to Amanda Lakie via email at alakie@portage-in.com or
in person/via mail to Marcia Jones at 6070 Central Avenue, Portage, IN 46368.
Rules and Regulations:
YOU MAY PASS OUT INFORMATION ABOUT YOUR BUSINESS/ORGANIZATION;
HOWEVER, EVERY “BOOTH” MUST PASS OUT CANDY/GOODIES AS WELL.
ALL ITEMS OF FOOD MUST BE STORE-BOUGHT DUE TO HEALTH REASONS.
ALL ENTRIES MUST BE RECEIVED NO LATER THAN WEDNESDAY, OCTOBER 23, 2019.
I hereby certify that I have read the rules and regulations and will not hold the City of Portage liable for any
injuries and/or damage before, during or after the event.
Name (printed): _____________________ Signature: ________________________ Date: _____________
Official Use Only:
Entry Number: _____________________ Position: ____________________
Date Received: ______________
ENTRY TYPE (Circle)
Commercial Government Youth Organization Service Organization Non-Commercial
Music to be played? YES NO Electrical Needed? Yes No
(Limited Electrical Spaces Are Available, So This
Will Be Given On A 1st-Request/1st-Serve Basis)
Space Needed: BOOTH or PARKING SPACE Booth Theme:
