2. First Name*
3. Last Name*
5. Address*
6. Address Line 2
8. City*
9. State*
10. Zip Code*
12. Email Address
13. Phone Number*
15. Contact Person (if different than applicant)
16. Contact Email (if different than applicant)
18. Organization Type*

    1. Non-Profit

    1. Profit

    1. Individual

    1. Other
22. Event Information
24. Name of Event
26. Description of Event
28. Date and Hours of Event
    Date and Hours of Event Start Date

    Date and Hours of Event Start Time

    —

    Date and Hours of Event End Date

    Date and Hours of Event End Time
    Including set-up/breakdown
29. Park and Shelter House(s) to be Utilized:
31. Type of Event:

    1. Walk/Run
    2. Festival
    3. Concert
    4. Tournament
    5. Other
32. Event Activities:

    1. Arts/Crafts
    2. Animals/Petting Zoo
    3. Games/Booths
    4. Inflatables
    5. Shows/Performances
    6. Concessions
    7. Sale of hot food
    8. Commercial Tents
    9. Other
33. Utility Needs

    1. Water
    2. Electric
34. Expected Attendance:
36. Other Type of Event:
37. Other Event Activity:
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

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