Special Event Checklist Page 4

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Revised January 22, 2015
Addendum #2. (Submit only those sections or forms as applicable, otherwise keep for
reference purposes only).
Rules Section:
DISCLAIMER
This questionnaire is being used to assist the chapter in having a safe event.
Please forward Special Event Checklist via email to your District Counselor for approval and
copy
Ms. Judy Spencer at , no later than 30 days prior to the event.
An administrative fee of $10.00 must be paid via Lockbox and submitted with your chapter’s
checklist with the exception of chapter meetings. Furthermore, failure to submit this form
within the appropriate time frame will result in a $ 60 expedited handling fee and an additional
$100 for additional insured being due prior to issue of the required certificate of insurance.
Waiver forms should be signed by the participants involved in athletic events, however, the
Chapter keeps the waiver forms for their records and do not have to forward them with the
Checklist.
**All Special Event Checklists received within 10 days of the event will be denied.
A Special Event is an event that is not brothers only and is one that is planned and organized to be
accessible to the public and non-fraternity members, or one that involves a contract with a third party.
Chapter Members shall not use personal vehicles to transport attendees.
Please note the requirement of 1 security guard per 100 attendees and must be of no
relation to Omega Psi Phi Fraternity**
A public event is one where attendees are not restricted or controlled as far as access.
SECURITY ( Must be provided for all events-*Chapter Meetings and community service outside, list
the Local Police Dept.) *Chapter members cannot provide event security unless they own their
individual security firm.
DID YOU REMEMBER TO?
Get all required signatures
Include all additional insured (Additional Insured line 1-2, p.2 and supplemental form
p. 5)
to be included on the policy (if applicable)
Indicate how the certificate of insurance should be returned to the chairperson
Present a complete and professional form
* Required Signatures – Checklist will be returned and not processed if all required signatures are not listed.

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