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2. Applicants Name
3. Email
5. Contact Phone
6. Additional Phone
8. Address
10. City
11. State
12. Zip
14. Sponsoring Organization
16. Sponsor Address
18. City
19. State
20. Zip
22. Date / Time of Event*
    Date / Time of Event

    Date / Time of Event
24. Event Starting Location
25. Event Ending Location
27. Estimated Number of Participants
29. Please Attach Route Map and Description of Event
31. Consent

    1. YES

    I understand that this application may be rejected if the conditions outlined in the submitted plan are not up to the standards set by the Chief of the Longmeadow Police Department or his designee. I also understand that for the safety of the event’s participants and general public, the sponsoring organization may be required to contract with the Longmeadow Police Department for the hiring of one or more off – duty police officers to assist in traffic control.

    
    

Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field