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.
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