City of Lynchburg - Parks & Recreation


301 Grove St., Lynchburg VA 24501

(434) 455-5871

Form Section 1


Event: MUSIC AT MILLER - JULY 1, 2017

Date Picker

Your registration is not complete until you submit this form, required fees if any, and other required documents such as

  • Business License
  • Certificate of Insurance that names the City of Lynchburg as additional insured.
  • A completed Health Department application for a temporary food vendor permit will be required.
  • Fees: Food Trucks/Vendors  - $30
    Dessert Only Vendors - $20.

All forms may either be mailed by June 19, 2017 to: 

Parks & Recreation
Attn. Sharon Brown
301 Grove Street
Lynchburg, VA 24501 


attach documents with this form or by email to: sharon.brown@lynchburgva.gov.

Fees must be made payable to City of Lynchburg, and mailed or hand-delivered to the address above.