“Dine Around” Form

""Dine Around" Restaurant Form

On Tuesday, October 22nd at 6:00pm, 150-170 meeting attendees will be visiting downtown Leesburg for a “dine around” event. We want to ensure your restaurant is prepared to accommodate this influx of visitors. Please use this form to provide information on your reservation process, capacity, and any special accommodations you can offer, such as dietary restrictions or ADA accessibility.

Please note that information submitted to the Town of Leesburg via the Town website may be subject to Virginia’s Freedom of Information Act (FOIA)

Please provide the following information about your restaurant.

Restaurant Name

Restaurant Phone Number

Restaurant Address

Point of Contact Name

Point of Contact Email Address

Point of Contact Phone Number

What is the capacity of your restaurant?

Will you take reservations for 10/22 patrons?

Yes No

What is the best way for patrons to make reservations?

Do you offer any special accommodations such as ADA accessibility or dietary restrictions?