2. Applicant Information
   
   
4. Name
5. Business Name
7. Mailing Address
8. City, State, Zip
10. Business Phone #
11. Business Fax#
13. Applicant Email
15. 
    
17. Event Information
    
    
19. Event Name
20. Event Location
22. Event Address
24. Contact Name
26. Contact Phone #
27. Contact Cell Phone #
29. Estimated Number of People in Attendance
31. Per day
32. Total
34. Event Date(s)
35. Start
36. End
38. 
    
40. Type of Event (check all that apply)
    
    
42. Nature of Event*

    1. Athletic/Sporting Event
    2. Carival/Fair/Circus
    3. Concert/Music Festival
    4. Exhibit/Trade Show
    5. Fireworks
    6. Motor Sport
    7. Political Rally
    8. Parade
44. 
    
46. Venue*

    1. Indoors
    2. Outdoors
    3. Tent(s)
48. 
    
50. Seating*

    1. Festival Seating (no chairs)
    2. Fixed Seating/Chairs
    3. Table Seating
52. 
    
54. Special Effects

    1. Pyrotechnic Display
    2. Lasers
    3. Open Flames
    4. Theatrical Fog/Smoke
56. 
    
58. Attachments

    1. Site Plan
    2. Floor Plan
    3. Seating Chart
    4. Pyrotechnics Permit
60. Attach File (if applicable)
62. 
    
64. Safety Precautions
    
    
66. Security

    1. In-House
    2. Trained Crowd Managers
    3. Private Security
    4. Law Enforcement
68. 
    
70. Emergency Medical

    1. Basic First Aid
    2. Basic Life Support
    3. Advanced Life Support
    4. None
72. 
    
74. Fire Protection

    1. Fire Extinguishers
    2. Fire Sprinklers
    3. Fire Watch
    4. Fire Department Detail
Leave This Blank:


75. Submit

* indicates a required field