Event License - Template

IAmTheValeyard

Chief Justice Fudge
Developer
Department of Justice
Judge
Chief Justice
Whitelisted
Sep 1, 2020
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My Characters
James Hellraiser-Costello
Thomas Fudge
Barney Bae
Jimmy Buck
George Moonshine
Gregg McDonald
Alexander Montgomery
IMPORTANT INFORMATION: This document must be fully completed or it will be returned. The Department of Justice must receive this application three (3) business days prior to the event. There will be a one off event license fee of $600 if approved. This includes fight license and race license.

SECTION 1

Applicant must be a member of a qualifying nonprofit organization, local business, political party, or Government entity and authorized by an Officer, Director, or Chairperson of the Organization.

1. Applicant Name:
Date of Birth:

2. Applicant’s address:

3. Applicant's cell phone:


SECTION 2
Name of Organization, Candidate or Political Party/Gov.:


SECTION 3 Event Location:

Event Address:

SECTION 4 Dates and Hours of Event. Days does not have to be consecutive but may not exceed 10 consecutive days.










APPLICATION FOR SPECIAL EVENT LICENSE Fees: $2500 per day for 1-10 days (consecutive) Cash Only



SECTION 5 What type of security and control measures will you take to prevent violations of laws at this event?
(List type and number of police/security personnel and type of fencing or control barriers, if applicable.)

Number of Police:
Number of Security Personnel:
Fencing:
Barriers:
Explanation:





SECTION 6 Will this event be held on a currently licensed premise and within the already approved premises?
(If yes, Local Governing Body Signature not required)

Name of Business

SECTION 7

What is the purpose of this event?


SECTION 8

1. Has the applicant been convicted of a felony within the last 14 days?