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Single Event Application Form
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Applicant Information
Name
Business Name
Mailing Address
City, State, Zip
Business Phone #
Business Fax#
Applicant Email
Event Information
Event Name
Event Location
Event Address
Contact Name
Contact Phone #
Contact Cell Phone #
Estimated Number of People in Attendance
Per day
Total
Event Date(s)
Start
End
Type of Event (check all that apply)
Nature of Event
*
Athletic/Sporting Event
Carival/Fair/Circus
Concert/Music Festival
Exhibit/Trade Show
Fireworks
Motor Sport
Political Rally
Parade
Venue
*
Indoors
Outdoors
Tent(s)
Seating
*
Festival Seating (no chairs)
Fixed Seating/Chairs
Table Seating
Special Effects
Pyrotechnic Display
Lasers
Open Flames
Theatrical Fog/Smoke
Attachments
Site Plan
Floor Plan
Seating Chart
Pyrotechnics Permit
Attach File (if applicable)
Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)
Safety Precautions
Security
In-House
Trained Crowd Managers
Private Security
Law Enforcement
Emergency Medical
Basic First Aid
Basic Life Support
Advanced Life Support
None
Fire Protection
Fire Extinguishers
Fire Sprinklers
Fire Watch
Fire Department Detail
* indicates required fields.
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