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2. 
4. Section 1: Event Information and Overview

   To be filled out by the applicant

6. Event Name
7. Event Date(s)
8. Rain Date
10. Event Start
    Event Start
11. Event End
    Event End
12. Proposed Event Location
14. Event Organizer / Group
15. Address1
17. Event Type
    -- Select One --Road RaceParadeBlock PartyFestival / CarnivalJamboreeOther
18. Event Map / Layout

    Please upload map layout of event. If a road race/walk or parade, please upload the proposed route in addition. Please Note: If a road race or parade is the event type, please fill out the road race application. If a street closure is deemed necessary with this application, please fill out the street closure application. (Both linked in section 4)

20. Event Description

    Please describe the proposed event thoroughly. 

22. Section 2: Organizer Contact Information

    To be filled out by the applicant. Who will be the main point(s) of contact for organization of the event? 

24. First Name
25. Last Name
26. Phone Number
27. Email
29. First Name
30. Last Name
31. Phone Number
32. Email
34. First Name
35. Last Name
36. Phone Number
37. Email
39. Section 3: Event Safety Plan

    To be filled out by the applicant. 

41. Anticipated Number of Attendees

    Any event with anticipated participation of 500 people or more, will require a meeting with Pubic Safety to review the event.

42. Cancellation or Postponement

    In the case the event needs to be postponed or cancelled prior to the event, or needs to be cancelled or temporarily halted during the event due to weather or other circumstances, how will you notify participants?  

44. Emergency Plan

    In the case of a medical emergency during the event, what is your plan?

45. EMS Standby
    -- Select One --YESNOI AM UNSURE

    If you need an EMS standby, Contact: Longmeadow Fire Department at 413-567-3357 (Fire Prevention Office)

47. Events on Town Property
    -- Select One --TOWN GREENADULT CENTEROTHER FACILITY

    Will this event take place on Town Property, “The Green”, parks, or playing fields, or other Parks facilities? If so, a permit is required from the Longmeadow Parks and Recreation Department, please contact them at 413-565-4160 or email customerservice@lprd.net. For Adult Center facility use please contact 413-565-4150. 

48. Police Detail / Security Challenges
    -- Select One --YESNOI AM UNSURE

    Will you be closing, crossing or using a public road, or anticipate any security challenges? This may require a road closure permit and or a police detail. Please contact the Longmeadow Police Department at 413-567-3311

     

49. Public Works
    -- Select One --YESNOI AM UNSURE

    Will road barricades be needed for this event? If so, Please contact Longmeadow Department of Public Works at: 413-567-3400 or email publicworks@longmeadow.org. 

51. Food Vendors
    -- Select One --YESNO

    Are you going to have food vendors? Outside food vendors must be registered with Longmeadow Board of Health and may require a permit and inspection: Contact Longmeadow Board of Health at 413-565-4140 or health@longmeadow.org.

52. Building Inspections
    -- Select One --YESNOI AM UNSURE

    Is there a tent, stage, or other structure that requires building inspection? If so, Please contact the Building Department at 413-565-4153 or email building@longmeadow.org. 

53. Special Request / Objects on the Tree Belt
    -- Select One --YESNOI AM UNSURE

    If there is a request to place objects on the Town Tree Belt, please submit the request in email to the Longmeadow Select Board and Town Manager's Office. selectboard@longmeadow.org. 

55. Facilities and Waste

    Items such as trash and restroom facilities are the responsibility of the event organizers. Is there a plan for rest rooms and trash / recycling management?

56. Insurance

    Has a separate insurance policy been taken for this event? If so, a copy of the policy certificate must accompany the form and with other permit applications as required.

57. Insurance Policy

    Please upload policy if applicable.

59. Applicant Acknowledgement

    1. YES
    2. NO

    I acknowledge that I am responsible for the organization of this event and coordination with relevant Town Departments for public safety purposes. I also agree to complete any additional applications / obtain permits that are necessary to hold this event 

60. Applicant Signature

    To be signed by one of the primary event organizers listed in section 2.

62. Section 4: Relevant Supporting Applications and Resources

    To be filled out by the applicant. 

64. Application for Procession, Gathering, Road Race, Walk-a-Thon
    Application
65. Street Closure Request Form
    Application
66. Athletic Facility / Town Green Permit Request Form
    Application
68. Health Department
    Health Department Forms
69. Inspections
    Building & Community Development Permitting Portal
70. Adult Center
    Facility Rental Form
72. Section 5: Approval and Recommendations

    To be filled out by relevant Town Departments. 

    Shared Google Sheets Drive "Town Department Sign Off Sheet (Special Event Plan/Application)"

Leave This Blank:


74. 1. Receive an email copy of this form.
75. Email address

    This field is not part of the form submission.

76. Submit

* indicates a required field