Tuesday, November 20, 2018
Special Event Application



Applicant Information
First Name:*Last Name:*
Email:*Business Phone Number:Cell Phone Number:


Organization Information
Promoter/Organization/Company Name:*Street Address:*
City:*State:*Zip Code:*


Second Point of Contact Information
Is there a Second Point of Contact?*
Second Point of Contact Name:Phone:Email:

Event Information
Name of Event:*Is this your first time hosting this event?

Name & Address of venue where your event will be held:*

Date of Event:Month:Day:Year:*Time of Event:*Number of Attendees:*

Event Category (Please check all that apply)*


Will food be provided or sold at your event?*

Will alcohol be allowed, provided and/or sold at your event?*

Insurance
Do you have a Certificate of Insurance?*Policy Amount:

Temporary Structures
Will the event require temporary structures? (e.g., tents, stages)*Will the event include inflatables?*

Additional Information Required
Please provide a brief description of your event and any online links available for the event.*

Have you consulted with any agencies so far? (If yes, please list the agency name and contact information)

Do you have any final comments?
* - identifies required fields.