2025 Farmers Market Spring Vendor Application

Farmers Market Vendor Application
Due Date: February 28, 2025

NOTICE: PRODUCER MAY NOT PARTICIPATE IN MARKET WITHOUT THE FOLLOWING:
SIGNED APPLICATION, NOTARIZED COPY OF ANY LEASES, COPY OF LIABILITY INSURANCE, SIGNED COPY OF HOLD HARMLESS AGREEMENT, COPY OF ANY NECESSARY CERTIFICATIONS (E.G. COUNTY EXTENSION AGENT CERTIFICATION (back of application), KITCHEN INSPECTION, ETC.)

If land is leased, a notarized copy of each lease must be attached to application.

If you have more than 1 location, you must list the address, directions & product list on separate sheets.

Farmers Market Rules & Regulations
Hold Harmless Agreement
Farmers Markets County Extension Agent Certification

1. Name *This question is required.

2. Business *This question is required.

3. Street Address *This question is required.

4. City *This question is required.

5. State *This question is required.

6. Zip Code *This question is required.

7. County *This question is required.

8. Best Phone Number *This question is required.

9. Social Media

10. Website URL

11. E-mail Address *This question is required. This question requires a valid email address.

12. Location of Farm/Business/Leased land *This question is required.

13. Driving Directions to Farm/Business *This question is required.

Cost Per Space (check with market manager for authorization of multiple spaces before paying)

Fee: $400 per space

Pay By Check: Payable to PWC (PRINCE WILLIAM COUNTY)

Pay By Credit Card: Call our front desk to make payment 703-792-8650

Must be received by Market Manager no later than February 28, 2025.

14. Number of Spaces Requested *This question is required.

15. Must be signed and dated by Producer completing this application.

I have read the Prince William County Department of Parks & Recreation Farmers Market rules and the Release and Assumption of Risk and agree to sell and abide by all.
*This question is required.

Clear

Signature of

16. Estimate of your gross sales during Dale City Farmers Market 2024 season *This question is required.

17. Total acres in production *This question is required.

18. Total greenhouse space (sq. ft) *This question is required.

19. PRODUCE QUANTITIES

Space Cell	VEGETABLES	#ACRES PER CROP	TREE FRUIT	#TREES OR ACRES	SMALL FRUIT	#ACRES
1	1: VEGETABLES	1: #ACRES PER CROP	1: TREE FRUIT	1: #TREES OR ACRES	1: SMALL FRUIT	1: #ACRES
2	2: VEGETABLES	2: #ACRES PER CROP	2: TREE FRUIT	2: #TREES OR ACRES	2: SMALL FRUIT	2: #ACRES
3	3: VEGETABLES	3: #ACRES PER CROP	3: TREE FRUIT	3: #TREES OR ACRES	3: SMALL FRUIT	3: #ACRES
4	4: VEGETABLES	4: #ACRES PER CROP	4: TREE FRUIT	4: #TREES OR ACRES	4: SMALL FRUIT	4: #ACRES
5	5: VEGETABLES	5: #ACRES PER CROP	5: TREE FRUIT	5: #TREES OR ACRES	5: SMALL FRUIT	5: #ACRES
6	6: VEGETABLES	6: #ACRES PER CROP	6: TREE FRUIT	6: #TREES OR ACRES	6: SMALL FRUIT	6: #ACRES
7	7: VEGETABLES	7: #ACRES PER CROP	7: TREE FRUIT	7: #TREES OR ACRES	7: SMALL FRUIT	7: #ACRES
8	8: VEGETABLES	8: #ACRES PER CROP	8: TREE FRUIT	8: #TREES OR ACRES	8: SMALL FRUIT	8: #ACRES
9	9: VEGETABLES	9: #ACRES PER CROP	9: TREE FRUIT	9: #TREES OR ACRES	9: SMALL FRUIT	9: #ACRES
10	10: VEGETABLES	10: #ACRES PER CROP	10: TREE FRUIT	10: #TREES OR ACRES	10: SMALL FRUIT	10: #ACRES
11	11: VEGETABLES	11: #ACRES PER CROP	11: TREE FRUIT	11: #TREES OR ACRES	11: SMALL FRUIT	11: #ACRES
12	12: VEGETABLES	12: #ACRES PER CROP	12: TREE FRUIT	12: #TREES OR ACRES	12: SMALL FRUIT	12: #ACRES
13	13: VEGETABLES	13: #ACRES PER CROP	13: TREE FRUIT	13: #TREES OR ACRES	13: SMALL FRUIT	13: #ACRES
14	14: VEGETABLES	14: #ACRES PER CROP	14: TREE FRUIT	14: #TREES OR ACRES	14: SMALL FRUIT	14: #ACRES
15	15: VEGETABLES	15: #ACRES PER CROP	15: TREE FRUIT	15: #TREES OR ACRES	15: SMALL FRUIT	15: #ACRES
16	16: VEGETABLES	16: #ACRES PER CROP	16: TREE FRUIT	16: #TREES OR ACRES	16: SMALL FRUIT	16: #ACRES
17	17: VEGETABLES	17: #ACRES PER CROP	17: TREE FRUIT	17: #TREES OR ACRES	17: SMALL FRUIT	17: #ACRES
18	18: VEGETABLES	18: #ACRES PER CROP	18: TREE FRUIT	18: #TREES OR ACRES	18: SMALL FRUIT	18: #ACRES

20. PLANTS, FLOWERS & HERBS

Space Cell	HERBS	#ACRES	PLANTS - PERENNIALS	SQ. FEET	PLANTS - ANNUALS	SQ. FEET	CUT FLOWERS	SQ. FEET
1	1: HERBS	1: #ACRES	1: PLANTS - PERENNIALS	1: SQ. FEET	1: PLANTS - ANNUALS	1: SQ. FEET	1: CUT FLOWERS	1: SQ. FEET
2	2: HERBS	2: #ACRES	2: PLANTS - PERENNIALS	2: SQ. FEET	2: PLANTS - ANNUALS	2: SQ. FEET	2: CUT FLOWERS	2: SQ. FEET
3	3: HERBS	3: #ACRES	3: PLANTS - PERENNIALS	3: SQ. FEET	3: PLANTS - ANNUALS	3: SQ. FEET	3: CUT FLOWERS	3: SQ. FEET
4	4: HERBS	4: #ACRES	4: PLANTS - PERENNIALS	4: SQ. FEET	4: PLANTS - ANNUALS	4: SQ. FEET	4: CUT FLOWERS	4: SQ. FEET
5	5: HERBS	5: #ACRES	5: PLANTS - PERENNIALS	5: SQ. FEET	5: PLANTS - ANNUALS	5: SQ. FEET	5: CUT FLOWERS	5: SQ. FEET
6	6: HERBS	6: #ACRES	6: PLANTS - PERENNIALS	6: SQ. FEET	6: PLANTS - ANNUALS	6: SQ. FEET	6: CUT FLOWERS	6: SQ. FEET
7	7: HERBS	7: #ACRES	7: PLANTS - PERENNIALS	7: SQ. FEET	7: PLANTS - ANNUALS	7: SQ. FEET	7: CUT FLOWERS	7: SQ. FEET
8	8: HERBS	8: #ACRES	8: PLANTS - PERENNIALS	8: SQ. FEET	8: PLANTS - ANNUALS	8: SQ. FEET	8: CUT FLOWERS	8: SQ. FEET
9	9: HERBS	9: #ACRES	9: PLANTS - PERENNIALS	9: SQ. FEET	9: PLANTS - ANNUALS	9: SQ. FEET	9: CUT FLOWERS	9: SQ. FEET
10	10: HERBS	10: #ACRES	10: PLANTS - PERENNIALS	10: SQ. FEET	10: PLANTS - ANNUALS	10: SQ. FEET	10: CUT FLOWERS	10: SQ. FEET
11	11: HERBS	11: #ACRES	11: PLANTS - PERENNIALS	11: SQ. FEET	11: PLANTS - ANNUALS	11: SQ. FEET	11: CUT FLOWERS	11: SQ. FEET
12	12: HERBS	12: #ACRES	12: PLANTS - PERENNIALS	12: SQ. FEET	12: PLANTS - ANNUALS	12: SQ. FEET	12: CUT FLOWERS	12: SQ. FEET
13	13: HERBS	13: #ACRES	13: PLANTS - PERENNIALS	13: SQ. FEET	13: PLANTS - ANNUALS	13: SQ. FEET	13: CUT FLOWERS	13: SQ. FEET
14	14: HERBS	14: #ACRES	14: PLANTS - PERENNIALS	14: SQ. FEET	14: PLANTS - ANNUALS	14: SQ. FEET	14: CUT FLOWERS	14: SQ. FEET
15	15: HERBS	15: #ACRES	15: PLANTS - PERENNIALS	15: SQ. FEET	15: PLANTS - ANNUALS	15: SQ. FEET	15: CUT FLOWERS	15: SQ. FEET
16	16: HERBS	16: #ACRES	16: PLANTS - PERENNIALS	16: SQ. FEET	16: PLANTS - ANNUALS	16: SQ. FEET	16: CUT FLOWERS	16: SQ. FEET
17	17: HERBS	17: #ACRES	17: PLANTS - PERENNIALS	17: SQ. FEET	17: PLANTS - ANNUALS	17: SQ. FEET	17: CUT FLOWERS	17: SQ. FEET
18	18: HERBS	18: #ACRES	18: PLANTS - PERENNIALS	18: SQ. FEET	18: PLANTS - ANNUALS	18: SQ. FEET	18: CUT FLOWERS	18: SQ. FEET

21. HONEY, BAKED GOODS & PRESERVES

Space Cell	HONEY
1	1: HONEY
2	2: HONEY
3	3: HONEY
4	4: HONEY
5	5: HONEY
6	6: HONEY
7	7: HONEY
8	8: HONEY
9	9: HONEY
10	10: HONEY
11	11: HONEY
12	12: HONEY

22. BAKED GOODS

Space Cell	BAKED GOODS
1	1: BAKED GOODS
2	2: BAKED GOODS
3	3: BAKED GOODS
4	4: BAKED GOODS
5	5: BAKED GOODS
6	6: BAKED GOODS
7	7: BAKED GOODS
8	8: BAKED GOODS
9	9: BAKED GOODS
10	10: BAKED GOODS
11	11: BAKED GOODS
12	12: BAKED GOODS

23. PRESERVES

Space Cell	PRESERVES
1	1: PRESERVES
2	2: PRESERVES
3	3: PRESERVES
4	4: PRESERVES
5	5: PRESERVES
6	6: PRESERVES
7	7: PRESERVES
8	8: PRESERVES
9	9: PRESERVES
10	10: PRESERVES
11	11: PRESERVES
12	12: PRESERVES

24. CIDER

Space Cell	CIDER
1	1: CIDER
2	2: CIDER
3	3: CIDER
4	4: CIDER
5	5: CIDER

25. OTHER PRODUCTS

Space Cell	OTHER PRODUCTS
1	1: OTHER PRODUCTS
2	2: OTHER PRODUCTS
3	3: OTHER PRODUCTS
4	4: OTHER PRODUCTS
5	5: OTHER PRODUCTS
6	6: OTHER PRODUCTS
7	7: OTHER PRODUCTS
8	8: OTHER PRODUCTS
9	9: OTHER PRODUCTS
10	10: OTHER PRODUCTS
11	11: OTHER PRODUCTS
12	12: OTHER PRODUCTS
13	13: OTHER PRODUCTS
14	14: OTHER PRODUCTS
15	15: OTHER PRODUCTS
16	16: OTHER PRODUCTS
17	17: OTHER PRODUCTS
18	18: OTHER PRODUCTS