Type Full Name :
Sign With Hand
If yes, supplier:
State *
Event Date/Time From
If yes, description:
{[CNAME]}
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Will tables and/or chairs be set up?
Email
Name *
If yes, supplier:
Bleacher(s), platform(s), Grandstand(s)?
Will tents be utilized for this event?
Non-Profit?
Email *
State *
Phone Number *
Last Name *
Will there be portable toilet(s)?
Will you be supplying your own First-Aid Station?
Fee
ZIP *
Specific Purpose of Use *
Applicant Information
Will a stage be utilized?
What is your plan for cleaning and disposing of all refuse from this event?
Required Attachments
Will fencing, barrier(s) and/or barricade(s) be utilized?
City *
Phone Number
Phone Number
First Name *
Event Information
Signature
Inflatable device(s), amusement(s)?
Organization Information
ZIP *
City *
If yes, how many?
Primary Contact
Certification
Will there be entertainment?
Address *
Address *
1. Agreement for Use of Linwood Recreational (page 3 & 4), signed and attached
2. Proof of insurance with "City of Linwood" named as an "Additional Insured"
{[PNAME]}
If yes, how many?
If yes, how many and what size(s)?
Should be submitted forty-eight (48) days prior to the date for which field is desired
Facility Requested *
Does your event require electricity?
Event Date/Time To
Full Name
If yes, dimensions:
If yes, source:
The fee will be determined after the application is reviewed. An email will be sent out stating the fee due.
Booth(s), Exhibit(s), Display(s) and/or Enclosure(s)
I certify that the information mentioned above is true to my knowledge.
Vehicle(s) and/or trailer(s) be used?