Company Name:

Email:

Stand Contact Name

First Name

Last Name

Stand Number:

Stand Contact Number:

The Health & Safety Representative on the Stand will be:

Health & Safety Representative contact number on the Stand:

Receipt of Manual:

Please tick here to confirm you have received the manual & acknowledge that you will comply with the health and safety regulations, rules and regulations associated with the event & you are knowledgeable on its contents

Do you require a gazebo?

Do you require electricity?

Health and Safety Declaration:

• You have trained & made your staff aware of the potential risks present onsite. • You ensure your exhibits, demonstrations and work practice causes NO HAZARDS to either yourselves or others onsite. • You will make available a copy of our own company’s Health & Safety Policy and Risk Assessment. • Your staff will be sufficiently instructed and trained in matters relating to Health & Safety in order to carry out their tasks competently.

Please tick here to confirm you have read and agree with the above.

Load In Time:

Please select the day you would prefer to load in for Pups in the Park. Please follow Build & Load-in regulations as outlined in the Exhibitor Manual.

VAT No.

VAT Rate:

Please, tick VAT rate applicable to your business: For your own tax purposes, please make sure the VAT rate you have picked is correct for your business.

23%

13.5%

Selling or Sampling Food

Will you be selling or sampling food?

Yes

Food Hygiene Training Certificates:

Do you have food hygiene training certificates?

Yes

Are you registered with the Health Service Executive?

Yes

If registered, please enter HSE Registration Number below. If you need to register, please refer to form 5.

Signature:

Position in Company:

Thank you for completing and submitting Form 1: Mandatory Information.