Special Event Permit/facility Use Application Form - Parks And Recreation Department - City Of Claremont

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Parks & Recreation Dept.
Special Event Permit/Facility Use Application
130 Broad Street, Claremont, NH 03743
Telephone: (603)542-7019 Fax: (603)542-7047
APPLICANT AND SPONSORING ORGANIZATION INFORMATION
Please complete all data as required.
NAME OF ORGANIZATION:______________________________________________________________________________________________
APPLICANT NAME:______________________________________________________________________________________________________
ADDRESS:____________________________________________ CITY:_______________________________STATE:________ZIP:___________
DAYTIME PHONE: (____)_____________________ EVE. PHONE: (____)_____________________ FAX#:(____)_________________________
E-MAIL:____________________________________________ WEB PAGE:_________________________________________________________
MANAGER ON SITE DAY OF EVENT:_____________________________________ CELLULAR: (_____)______________________________
HOME PHONE: (_____)__________________________________
*Any change in the above information, please notify the Parks & Recreation Department immediately.
SPECIAL EVENT INFORMATION
Complete all data as required for event of any size.
Type of Event:
____ RUN/WALK
____RALLY
____PARADE
___ WEDDING CEREMONY/PHOTOS
____FAIR
____ CONCERT
____ PICNIC
___ OTHER (specify):___________________________________________________________
EVENT TITLE:__________________________________________________________________________________________________________
EVENT DATE:___________________________________________ ESTIMATED ATTENDANCE:_____________________________________
TYPE OF FIELD/FACILITY REQUESTED: (please circle)
FOOTBALL / SOFTBALL / BASEBALL / SOCCER /OPEN GREEN SPACE
PICNIC / PLAYGROUND / POOL FACILITY / MEETING ROOM / GYM
TENNIS COURTS / BASKETBALL COURTS / TRACK /OPEN SPACE
SPECIFIC SITE REQUESTED: (please circle) BARNES PARK / VET’S PARK / MOODY PARK / ARROWHEAD / MONADNOCK PARK
BROAD ST. PARK / ZOTTO GYMNASIUM / INDOOR POOL / OUTDOOR POOL / JSL
GCC MTG. ROOM / RIVERSIDE PARK / VISITOR CENTER COMMON
ACTUAL HOURS OF EVENT: _________________AM/PM ___________________ AM/PM
SET UP TIMES: ______AM/PM ______ AM/PM
TAKE DOWN TIMES: ______AM/PM______AM/PM
DESCRIPTION OF EVENT AND SET UP AND CLEAN UP PLAN: _______________________________________________________________
________________________________________________________________________________________________________________________
*Please attach additional sheets as necessary, including plans, drawings, maps, ect.
PLEASE INDICATE WHETHER THE FOLLOWING ITEMS PERTAIN TO YOUR EVENT.
YES
NO
___
___
FOOD CONCESSION AND/OR FOOD PREPARATION AREA (S)
(If you need to cook food in the event area) Please specify method: GAS / ELECTRIC / CHARCOAL / OTHER:____________
___
___
FIRST AID FACILITY (YES) AND EMT / POLICE / FIRE
___
___
WILL YOU SET UP TABLE (S) AND/OR CHAIR (S) HOW MANY OF EACH ____________________________________

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