OFFICE OF SELECTMEN
TOWN OF HINGHAM
210 Central Street,
Hingham, MA 02043-2762
(781) 741-1400
APPLICATION FOR ANNUAL ENTERTAINMENT LICENSE
LICENSE FEE: $25.00 (NEW) For Office Use Only
$100.00 (RENEWAL) Check #: ________
Name of Business: _____________________________________________________________________
Address: _____________________________________________________________________________
Phone Number: _______________________ Email Address: ___________________________________
Name of Manager: _____________________________________________________________________
Type of Entertainment: _________________________________________________________________
____________________________________________________________________________________
Days of the Week Entertainment Planned: __________________________________________________
Hours - From: ________________ To: ________________
Exact Location within Premises Entertainment Will Be Held: ___________________________________
(Please include a floor plan indicating the location of the entertainment)
NOTE: A license is required for all forms of entertainment including live and recorded music, television,
theatrical performances and dancing. Before an entertainment license can be issued, the Board requires a
public hearing and prior approval from the Chief of Police.
___________________________________________ _____________________________
Applicant’s Signature Date:
ALL ANNUAL ENTERTAINMENT LICENSES ARE REQUIRED TO RENEW THEIR LICENSE
WITH THE TOWN OF HINGHAM BY NOVEMBER 30
TH
OF EACH YEAR.
click to sign
signature
click to edit
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome