Saratoga County Public Health Services
Large Gathering Event Notification Form
Please complete and submit the following form at least 5 days prior to the event

NYS Travel Restrictions still apply: https://coronavirus.health.ny.gov/covid-19-travel-advisory
All information entered on this form will be kept confidential

* Required field

** Food Service Facilities must have their NY Forward Safety Plan completed and available for review **

Attendees must be the lower of 150 persons or 50% of venue capacity

  • All guests must sign in and provide full name, date of birth, address, email and phone number
  • Table seating chart (if applicable) must be retained
  • Facility must maintain this information for 28 days in the event contact tracing is required
Please refer to the NYS Forward Phase 4 "Interim Guidance for Food Services during the COVID-19 Public Health Emergency" for full explanation of requirements:
https://www.governor.ny.gov/sites/governor.ny.gov/files/atoms/files/Indoor_and_Outdoor_Food_Services_Detailed_Guidelines.pdf

Responsible Party
I am the responsible party for the business, organization or event listed. I have reviewed all applicable New York State interim guidance for event activities and operations during the COVID-19 public health emergency and I affirm that I have read and understand the above linked guidance and my obligation to operate this event in accordance with such guidance

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