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Village of Fredonia Special Event App
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Members
Section 1: Applicant Information
*
Organization/Applicant Name
*
Email
*
Phone
*
Address
Section 2: Event Information
*
Event Name
Event Type
Event Location
*
Event Date/Time
Month
Day
Year
Time
:
Hours
Minutes
AM
*
Estimated Attendance
*
Single choice
Open to the Public
Admission Fee Charged
Section 3: Event Details
Event Details
Street Closures Requested-List Streets
Use of Village Parks/Facilities-Specify
Food Vendors
Alcohol Served (attach liquor license permit)
Live Music/Amplified Sound
Fireworks/Open Flame
Tents/Temporary Structures (attach site plan)
Portable Toilets
Security/Private Staffing
Other
Include Detailed Information Below
Section 4: Safety & Emergency Planning
Medical/First Aid Plan:
Traffic/Parking Plan:
Crowd Control/Security Plan
Contact Person On-Site During Event (Name & Cell)
Section 5: Insurance
Certificate of Liability Insurance with Village named as additional insured
Upload Certificate of Insurance
Submit
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