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 Name Last Name
Contact's Email *
Contact's Phone *

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

Brew Festival Special Beer Release Beer Tasting Tap Takeover Collaboration Beer Meet the Brewers / Brewery Tour Beer & Food Pairings Live Music Beer Demos / Culture / Education / History Contests / Games / Diversions
Other Categories
Day(s) of Event *

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

Free Entry 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? *

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