Special Event Request 2024

EVENT INFORMATION

Event/Activity Name	Birthday party
Is this a 400th Event?	No
Is this event approved by the 400th committee?	No

CONTACT INFORMATION

Facility (See link to park locations and descriptions above)	---
***Other Description	Mary o’mally park
Event Date	June 1
Applicants Name	---
Contact Person	---
Cell Phone	---
Email Address	---
Day Phone	---
Address	---
Name of Supervisor/Vendor on Site	---
Supervisor/Vendor Phone Number	+18572065965
Name of Second Supervisor on Site	---
Second Supervisor Phone Number	+18572065965
Total Estimated Number of Participants	40
Estimated Number of ADULT Participants	20
Estimated Number of YOUTH Participants	20
Activity	Private Party (please specify below)
Brief Description of Event	---
Special Requirements	---

First Preference For Event Date

Is this event happening on one date or multiple dates?

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First preference: Single Date - Time

Date	2024-06-01
Total Time (ex. 2:00pm-6:00pm)	---
Set-up Time (ex. 2:00pm-3:00pm)	---
Total Event Time (ex. 3:00pm-5:30pm)	---
Breakdown Time (ex. 5:30pm-6:00pm)	3

Second Choice - Single Date

If your first choice date is not available, do you have a second choice?

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Specialized Event

Does your event fall under one of these categories?

No

Licensing Department and Inspectional Services Department

Are any of the following part of your event?

Food and beverages , None of these will be part of my event.

Food and Beverage/ Fire Department and Licensing

Will food and beverages be:	---
Please specify all food and beverages that will be provided	---