APPLICATION FOR A PARADE PERMIT
Please Print Clearly
APPLICATION MUST BE FILED THIRTY (30) DAYS BEFORE DATE OF PARADE
* SUBMIT WRITTEN APPROVAL FROM PROPERTY OWNER IF ASSEMBLY AREA
OR TERMINATION AREA IS NOT OWNED BY APPLICANT’S ORGANIZATION
APPLICANT MUST INCLUDE DETAILED MAP OF YOUR ROUTE AS PER NASSAU COUNTY POLICE DEPARTMENT
Having filed an application pursuant to Chapter 117, Code of the Town of Hempstead entitled Parades, the foregoing
Organization is hereby granted permission to conduct a Parade under the conditions stated above.
APPROVED BY DIRECTION OF THE TOWN OF HEMPSTEAD
Copies to:
Rev. 1/20
Supervisor: ________________
Council Members: __________
Parade
Bikeathon
K-Run
Procession
PARADE #
1. Name of Applicant:
Address: Tel #:
2. Name of Organization:
Address: Tel #:
3. Name of Person in Charge:
4. Date of Event: 4a. Alternate Date: 5. Rain Date: 6. Start Time: 7. Approx. End Time:
8. No. of Persons in Event: 9. No. of Vehicles (if any): 10. Type of Vehicles:
11. No. & Type of Animals (if any): 12. Max. Intervals Between Units: 13. Max. Length of Event:
14. Minimum Speed: 15. Maximum Speed: 16. Time of Assembly:
17. Assembly Area*
EMAIL ADDRESS:
18. Route of Event and Portion of Street to be Traveled:
Signature of Applicant
Town Clerk
Title
17a. Street 17b. Hamlet / Village
Address: Tel #:
Office Use Only
Office Use Only
OFFICE OF THE TOWN CLERK
KATE MURRAY
Town Clerk
One Washington Street Hempstead, NY 11550
Tel: (516) 812-3025 email: licensing@tohmail.org
DONALD X. CLAVIN JR.
Supervisor
Office Use Only
