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TOWN OF BEDFORD SPONSORED EVENT APPLICATION
***** EVENT INFORMATION AND APPLICATION FORM MUST BE SUBMITTED
AND APPROVED PRIOR TO THIS FORM BEING SUBMITTED*****************
Group or Organization: __________________________________________________
Address: ______________________________________________________________
Person in Charge: _______________________________________________________
Phone Number: ________________________Email:____________________________
Type of Function: _______________________ # Attending: ____________________
Signature: __________________________________ Title: _____________________
Date of event: _______________________________________
Is the event open to the public?___________________________________________
Is the event a fundraiser?_________________________________________________
What will the funds be used for?___________________________________________
In what way does this event benefit the residents of the Town?________________
_______________________________________________________________________
Town Clerk’s Use
The following must be submitted (if applicable) with completed application:
Facility Use Permit
Signed Hold Harmless Agreement
Liability Insurance
Approved by Insurance Co.:________________
Police services required____________________________________________
DPW services required_____________________________________________
Other services required______________________________________________
PLEASE SUBMIT TO THE TOWN CLERK’S OFFICE WITH ALL APPLICABLE BACK UP
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signature
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