Form Center

2. Sponsoring Organization
4. First Name*
5. Last Name*
7. Address1*
9. Address2
11. City*
12. State*
13. Zip*
15. Telephone Number*
16. Location of Event*
18. Projected Date/Time of Event*
    Projected Date/Time of Event

    Projected Date/Time of Event
    (Including set-up/break-down)
19. Projected Attendance*
21. Purpose of Event*
22. Description of Planned Activities*
26. Will there be any amplified sound?*
    -- Select One --YesNo
27. If yes, please describe.
29. Is electricity needed?*
    -- Select One --YesNo
30. If yes, please describe.
32. Will staging be used?*
    -- Select One --YesNo
33. If yes, please describe.
35. Will admission be charged at the event?*
    -- Select One --YesNo, Admission is FREE
36. If yes, how much?
38. Will Center equipment be needed?*
    -- Select One --YesNo
39. If yes, please describe.
41. Will the Center kitchen be used?*
    -- Select One --YesNo
42. If yes, please describe.
44. Will dumpsters be used?*
    -- Select One --YesNo
45. If no, How will trash be removed?
49. It is the responsibility of the event organizer to obtain all City permits and arrange for the event’s security at least one (1) week prior to the event. In addition, the event organizer must adhere to the all health ordinances provided by the Chatham County Health Department if food will be served. Prior to the issue of the permit, the event sponsor should visit the center. Contact the center’s personnel to set up a convenient time to visit the facility. NOTE: This is an application, not a contract. By completing this application and signing below, you confirm that you have read and understood the policies governing special events at indoor facilities.*

    1. I have read and understand the above statement
51. Signature*
    I have agreed to submit this application by electronic means. My typed name in the box above will act as an electronic signature. I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature. By signing this application I agree that my answers are correct and complete to the best of my knowledge.
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53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

55. Submit

* indicates a required field