ClearForms Demo

(Sample) LAPD Special Event Permit

Jun 14, 2017
submission #3
Special Event Information

Event Information

Title/ Name of Event Meditation Celebration
Type of event Religious
Set Up Date (if applicable) 2017-08-07
Proposed Assembly Time (indicate if same as start time) 6:30 AM
Proposed Event Date 2017-08-07
Proposed Event Start Time 7 AM
Proposed Disbanding Time (indicate if same as completion time) 9 AM
Proposed Event Completion Time 9 AM
Annual event/ previously held and approved? Yes
Please share the date of the last time this event was held (if any) 2016-08-01
Total event participants 100
Estimated number of spectators 25
Decribe in detail how the event will be conducted, including public notification efforts. If applicable, give number of bands, type of marching units, members in each unit, number and type of sound vehicles, amplication, animals, floats, etc. Semi-circle seated meditation followed by a walking meditation procession
Decribe first aid, water, and sanitary provisions planned none

Event Sponsor and Applicant Information

Name of Sponsoring Organization Test Meditation Society
Website/ Facebook page n/a
Mailing address 2500 Wilshire Blvd Los Angeles, CA
Sponsoring Organization Phone +13105551222
Official of Sponsoring Organization (Last, First, Middle) Sample User
Email address of Sponsoring Organization official ---
Mobile phone of Sponsoring Organization Official ---
Applicant Name (Last, First, Middle) Jane Doe
Applicant Email ---
Applicant Mobile Phone ---
Is applicant affiliated with or employed by Sponsoring Organization Yes
If applicant is not employed/ affiliated, upload letter from Sponsoring Organization documenting agreement to application Sample_Form_citygrows.pdf

Event Location, Route and Staffing Details

Describe route to be followed or location of event (include direction and portion of streets or locations requested) Down Wilshire to MacArthur Park
Number of officials/ monitors in assembly area 10
Describe assembly/ staging area (List streets or portion thereof, private property or park area to be used, including parking contingencies planned). Indicate if same as event location. n/a
Number of officials/ monitors along route 10
Describe disbanding area (list streets and/or private property or park area to be used, including cleanup actv n/a
Number of officials/ monitors at disbanding area 10
Upload map of event location/ route / staging and disbanding areas Sample_Form_citygrows.pdf