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2. Name of Event*
4. Organization Name*
5. Expected Number of Participants*
7. Event Coordinator*
9. Address*
11. City*
12. State*
13. Zip Code*
15. Phone Number*
16. Email Address*
20. Event Description*
22. Submit an event site map if possible

    Acceptable file formats: jpg, png, pdf

24. Event Includes (check all that apply)*

    1. Alcohol Sales
    2. Amplified Sound
    3. Athletic Event
    4. Block Party
    5. Electrical Wiring

    1. Food Sales
    2. Generator(s)
    3. Live Entertainment
    4. Low-Point Beer Sales
    5. Merchandise Sales

    1. Non-Residential Area
    2. Residential Area
    3. Street Activities
    4. Street Closure
    5. Water
26. Number of Tents
27. Size of Tents
29. Estimated Number of Attendees*
31. Event Date & Time*
    Event Date & Time Start Date

    Event Date & Time Start Time

    —

    Event Date & Time End Date

    Event Date & Time End Time
33. Setup Day & Time*
    Setup Day & Time

    Setup Day & Time
34. Teardown Day & Time*
    Teardown Day & Time

    Teardown Day & Time
36. Is this an annual event?*

    1. Yes
    2. No
37. If yes, how many year?
41. Primary Contact(s) During the Event
43. Name*
44. Number*
46. Name
47. Number
Leave This Blank:


52. 1. Receive an email copy of this form.
53. Email address

    This field is not part of the form submission.

54. Submit

* indicates a required field