Mass Gathering Application

Event Coordinator's Information

Event Information

Property Owner Information

Site Clean Up Plan

Plan for Directional Exit Signs

Plan of address Nuisances or Health Hazards Associated with Animals Present at the Gathering

Total Number of Emergency Medical Personnel Qualifications

****You must submit a site plan describing the area where the gathering is to be held, including ALL of the following:

1. The parking area available to patrons
2. Location of entrance, exit, and interior roadways and walks
3. Location, number, type, provider, and servicing schedule of solid waste containers
4. Location, number, type, provider, and servicing schedule of restroom facilities (the consumption of alcoholic beverages will increase the number of required toilets at the gathering)
5. Location, number, type, provider, and servicing schedule of handwash stations
6. Location, number, description, and provider of drinking water stations
7. Location and number of food stands, and the types of food being served if known (food vendors will require separate permits to operate)
8. Location of operator's headquarters
9. A plan to provide lighting adequate to ensure the safety of attendees and staff
10. Location of all parking areas designated for the gathering and under the operator's control
11. Location, number, and size of all first aid stations and emergency medical resources
12. Plans to address hazardous conditions (plans may include: evacuation, cancellation or delay of the gathering and provision for support facilities)
13. Emergency medical services operational plan and the contact information of the emergency medical provider
14. Sufficient signs shall identify and show the location of first aid, restroom, and drinking water facilities (provide a copy of signage being used, number of signs, etc.)

***Copies of all service agreements for the event must be included in the application (i.e., liquid waste, solid waste, emergency medical services, site use or rental, etc.)

***All items included in this application must be submitted in order for the application to be considered complete and available for approval***

Max File Size: 2MB

Or for larger files provide a public link to DropBox, or GoogleDrive, so that we can download your files:

Digital Signature

By signing your name below, you are signing this form electronically. You agree to, and understand, all the information you are submitting: