Fillable Special-Events-Questionnaire APPLICATION FOR SPECIAL EVENTS PERMIT

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Special-Events-Questionnaire APPLICATION FOR SPECIAL EVENTS PERMIT

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SPECIAL EVENTS PERMIT
QUESTIONNAIRE
Instructions:
You are required by Oakland Municipal Code 9-52.030 to obtain a special event or dance permit
before holding or assisting in the conducting or carrying on of a special event or dance in any public
place in the City of Oakland.
Upon approval, your application will serve as your permit. Unless you can provide documentation
confirming that you are a charitable institution, you must have a business license to conduct a
special event and if you intend to sell or furnish alcoholic beverages, you must obtain a one-day
liquor license from the California Alcohol Beverage Control Board.
Please complete this form and return it with copies of any required documents for further processing.
NOTE:
UNTRUTHFULNESS IN COMPLETING THIS FORM WILL RESULT IN DENIAL OF THE
APPLICATION.
OAKLAND PARKS & RECREATION DEPARTMENT MAY REQUIRE SOME EVENTS TO HAVE
SECURITY AND/OR POLICE SERVICES.
DANCING IS NOT PERMITTED BETWEEN 1:00 AM and 9:00 AM.
PLEASE PRINT – ILLEGIBLE INFORMATION WILL DELAY APPROVAL
Applicant’s Name
Date of Birth
Address City Oakland State/Zip
Bus. Phone ( )
Person in Charge/Present and Available for Police Contact on the Date/Time of Event
Date of Birth
Business, Organization or Club Hosting/Sponsoring Event
Address City Oakland State/Zip
Phone No. ( )
Date of Event
Day of Week
Starting Time
Ending Time
Name of Facility or Club
Address City Oakland State/Zip
Maximum Occupancy of Facility
Does Facility Have Off-Street Parking? No Yes – How Many Spaces
Contract with the Owner/Manager/Agent of the Event Facility Yes – Attach Copy
No – Explain
.
TF-1099 (07/18)
Page 1 of 2
Two (2) References from Previous Events Starting with the Most Recent
Date
Location
City Oakland State/Zip
Contact Person
Phone No. ( )
Date
Location
City Oakland State/Zip
Contact Person
Phone No. ( )
How Many Tickets will be Sold
Ticket Price
Ticket Sale
Door In Advance None
How Many are Expected to Attend
Target Age Group
Under 18 Allowed
Yes No
General Public Allowed
Yes No
Advertisement None Flyers
Radio/TV Other (explain)
.
Music/Entertainment Live/Recorded? No Yes – Name of Group/Organization/Individual
Security Officers No Yes – Name of Company
Security Officer(s)
Armed Unarmed
In Addition to Security Officers, How Many Adult Chaperons for Events Under 18 Years of Age
ATTACH COPY OF SECURITY CONTRACT/AGREEMENT WITH SECURITY COMPANY SHOWING THE
NUMBER OF GUARDS WITH THEIR ARRIVAL AND DEPARTURE TIMES. It must be at least 30 minutes
before and after the event. A ratio of 1 security person per 50 anticipated attendee will be required. The
contract should provide a contingency plan for additional security in the event the expected attendance exceeds
the expectations.
NOTE:
THE SECURITY COMPANY MUST BE LICENSED TO DO BUSINESS IN OAKLAND.
Alcoholic Beverages Furnished or Sold
Yes
No
Have You Ever Applied /Received a Special Events Permit in the City of Oakland Yes No
Have You Ever Been Denied a Special Events Permit in the City of Oakland No Yes –
Explain ________________________________________________________________________________ .
I have read all requirements and information on this form and have completed the form as accurately as
possible. I understand that this is NOT a permit, but an application pending approval of the Oakland
Police Department. Incomplete, illegible or missing documentation may delay the permit process. I also
understand untruthfulness will result in denial of my permit.
_________________________________________________________ Date ____________________
Applicant’s Signature
Page 2 of 2
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Special-Events-Questionnaire APPLICATION FOR SPECIAL EVENTS PERMIT

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Completed 16 February 2020

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