Type Full Name :
Sign With Hand
If yes, supplier:
State *
Event Date/Time From
If yes, description:
{[CITY]}, {[STATE]} {[ZIP]}
Will tables and/or chairs be set up?
Name *
If yes, supplier:
Bleacher(s), platform(s), Grandstand(s)?
Will tents be utilized for this event?
Email *
State *
Phone Number *
Last Name *
Will there be portable toilet(s)?
Will you be supplying your own First-Aid Station?
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
Inflatable device(s), amusement(s)?
Organization Information
City *
If yes, how many?
Primary Contact
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"
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?