ZIP
State
Premises Address
{[ADDR]}
{[CITY]},
{[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Full Name
Applicant Address is Event Address?
State
Address
Event Address
Phone #
Applicant Information
City
{[PNAME]}
ZIP
City
Application must be submitted no later than 30 days prior to event.
This is not an Amplification Permit Application, this is only an Application to conduct an Outdoor assembly of 200 or more people.
If you will require an Amplification Permit together with the Outdoor Assembly Application please Click here
Email
  • Contact Info
  • Event Info
  • Background Info
  • Attachments & Certification
Address
Provide details of the business that will sponsor the event.
Email
City
City
Phone #
Property Owner Information
ZIP
Email
Sponsor Information
Full Name
ZIP
State
Business Name
Full Address
Phone #
Event Coordinator is?
Address
Email
Phone #
State
Property Owner is Applicant?
Full Name
Coordinator Information
Event Information
Private?
Tent?
Open Flame?
Fundraiser?
Starting Date and Time of the Event
# of Attendees
# of Days Event Held
Food?
Public Bathrooms?
Charge Amount
Ending Date and Time of the Event
Event Name
Admission Charge?
# of Days until Event
Alcohol?
Duty Police?
Advertised?
Total # of previous addresses
References
Total # of References added
Background Information
Have you ever been arrested or convicted of a crime or misdemeanor?
Previous Address History
List all of the addresses where the Applicant has resided for the last three (3) years if applicable.
Provide details of all references.
If "Yes", provide details of the misdemeanor or crime
Type Full Name :
Sign With Hand
Attachments
APPLICANT must fully comply with the requirements of Montgomery Township Ordinance #251. In addition to the above information, items required in Section Two, a, b, and c of Ordinance #251 must also be submitted to complete the application.
Certification
Applicant Signature