Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Schuyler County Public Health Large Gathering / In- person Catered Event Notification Form

  1. Note: This form only needs to be completed for indoor events over 100 people or outdoor events over 200 people
  3. Include time for setup and cleanup
  4. Location on Premises*
  5. Attestation
    I am the Responsible Party for the 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 my obligation to operate this event in accordance with such guidance. I understand the event may be subject to inspection by Yates County Public Health to ensure compliance with all provisions of the guidance.
  6. Attestation sign off
  7. Leave This Blank:

  8. This field is not part of the form submission.