2017 Roseburg Beer Week+ Events Registration

Filling out and submitting this form indicates your intent to schedule and host an event during the 2017 Rosburg Beer Week+, and your agreement to abide by the Terms of Service.
Submit a separate form for each event which you are scheduling and hosting.

If editing or updating a previous submission, rather than filling out all of the required fields in this form, email changes to: brewburg@gmail.com.
Business or Organization*
Name*

First NameLast Name
Contact's Email*
Contact's Phone*

Area CodePhone Number
Suggested Categories of Event (Choose all that apply.)*

Brew FestivalSpecial Beer ReleaseBeer TastingTap TakeoverCollaboration BeerMeet the Brewers / Brewery TourBeer & Food PairingsLive MusicBeer Demos / Culture / Education / HistoryContests / Games / Diversions
Other Categories
Day(s) of Event*

Sat., July 22Sun., July 23Mon., July 24Tues., July 25Wed., July 26Thurs., July 27Fri., July 28Sat., July 29
Start Time*
End Time*
If not applicable, type Not Known
Cost of Event*

FreeEntry Fee
Entry Fee Cost
Please keep the event description brief and as specific as possible.

The Roseburg Beer Week+ committee reserves the right to edit your event description to make the content consistent and grammatically correct.
Description of Event (in 50 words or less, so make it pithy!)*
Do you have liability insurance for this event?*

YesNoNot needed
If you answered No, that you do not have liability insurance, please explain.
Should be Empty: