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2. Event Information
4. Event Name*
6. Event Website*
8. Event Start Date*
   Event Start Date
9. Event End Date*
   Event End Date
13. Contact Information
15. Organization/ Applicant Name*
17. Address*
19. City*
20. State*
21. Zip Code*
23. Primary Contact Person*
25. Primary Contact Phone*
26. Primary Contact Email*
28. Primary Contact Alternate Phone
30. Secondary Contact Person
32. Secondary Contact Phone
33. Secondary Contact Email
35. Organization Type*

    1. Non-Profit
    2. Government
    3. Corporation
    4. Other
36. LIST IF "OTHER"*
38. Does Your Event Have Insurance?

    1. Yes
    2. No
40. Proof of Insurance*
44. Event Description
46. Event Purpose and Description*
48. Will your event involve any filming or videography on Government property?*

    1. Yes
    2. No
50. Is this a new event?*

    1. Yes
    2. No
52. Event Age*
54. Event Variation*

    Please list any variations from previous years. 

56. Event Location *

    1. Park
    2. Street
    3. Lebanon Town Square
    4. Wilson County Expo Center
    5. Private Property
58. Does Your Event Use Fireworks?*

    1. Yes
    2. No
60. Fireworks Vendor Name & Contact*
62. Fire Suppression Plan?*
64. Event Location Name*
66. Estimated Daily Attendance*
68. Estimated Peak Attendance*
70. Is This A Public Event?*

    1. Yes
    2. No (Ticketed/ Invitation Only)
71. If Ticketed, Will Cash be an Accepted Form of Payment?*

    1. Yes
    2. No
73. Will You Be Taking Donations?*

    1. Yes
    2. No
74. Will Cash be an Accepted Form of Payment?*

    1. Yes
    2. No
76. Is this a Charity Event?*

    1. Yes
    2. No
78. Charity Information*
82. Event Setup

    Event Setup/ Assembly Schedule

84. Event Setup Date*
    Event Setup Date
85. Event Setup Start Time*
    Event Setup Start Time
87. Event Setup Location(s)*
89. Event Start Date*
    Event Start Date
90. Event Start Time*
    Event Start Time
92. Event End Date*
    Event End Date
93. Event End Time*
    Event End Time
95. Event Schedule*
97. Event Breakdown/ Disbanding Schedule

    When will all event elements be removed and streets/sidewalks or government property open to vehicles and pedestrians?

99. Event Breakdown/ Disbanding Time*
    Event Breakdown/ Disbanding Time

    Event Breakdown/ Disbanding Time
101. Breakdown Schedule*
105. Street Closures
107. Will Your Event Require Any Road Closures?*

     1. Yes
     2. No
109. Street(s) Requesting to be Closed*
111. Soft Road Closure Date & Time*
     Soft Road Closure Date & Time

     Soft Road Closure Date & Time

     A "Soft Closure" is a road closure that shuts down the street but allows vehicles in & out of the closure for setup. 

113. Hard Road Closure Date & Time*
     Hard Road Closure Date & Time

     Hard Road Closure Date & Time

     A "Hard Closure" is when no vehicles are allowed in or out of the event permitter.    

115. Soft Road Opening Date & Time*
     Soft Road Opening Date & Time

     Soft Road Opening Date & Time

     A "Soft Road Opening" Is when vehicles can enter and exit the event permitter for teardown while the road is still closed.  

117. Full Road Reopening Date and Time*
     Full Road Reopening Date and Time

     Full Road Reopening Date and Time

     When teardown is finished and the roadway can be completely reopened to normal traffic flow. 

119. Any additional details about road closures you'd like us to know?*
123. Food & Beverage
125. Is Food being Served?

     1. Yes
     2. No
126. Number of Food Vendors?*
128. Will There be any Sales, Service, or Consumption of Alcohol in Public at the Event?*

     1. Yes
     2. No
129. Will Beer be Served?*

     1. Yes
     2. No
131. Will Liquor be Served?*

     1. Yes
     2. No
132. Will Wine be Served?*

     1. Yes
     2. No
134. How is Alcohol Served?*

     1. Sold by the Drink
     2. Given Away
136. Day(s) and Time(s) Alcohol will be Served.*
140. Entertainment, Stages, and Tents
142. Will a vehicle be used during the course of the event (Excluding setup and breakdown) E.G. a parade*

     1. Yes
     2. No
144. Number of Vehicles?*
146. Is a Stage being Built?*

     1. Yes
     2. No
148. How Many Stages are being Built?*
150. Live Entertainment*

     1. Yes
     2. No
152. Performance days and times
154. Number of Tents smaller that 10x10
156. Number of Tents bigger that 10x10
160. Utilities and Portable Restrooms
162. Event Utilities (Select all that apply)*

     1. Generators
     2. Utility Power
164. Will Additional Wiring be Installed?

     1. Yes
     2. No
166. Does Event Require Access to Fire Hydrant?*

     1. Yes
     2. No
168. Will Your Event Utilize Portable Restrooms?*

     1. Yes
     2. No
170. Portable Restroom Contractor Information*
172. Number of Portable Restrooms*
174. Number of Accessible Units*
178. Security Contractor
180. Will Event have Security Contractor?*

     1. Yes
     2. No
182. Security Contractor Information*
186. Emergency Plans
188. Medical Emergency Plan*
190. Severe Weather Plan*
194. Waste Management Plan
196. Will You Be Providing your Own Sanitation?*

     1. Yes
     2. No
198. Have You Coordinated with Lebanon Sanitation?*

     1. Yes
     2. No
200. Event Cleanup Plan?*
204. Site Map
206. Site Map?
210. Additional Files?
212. E.g. Event Action Plans, Contractor List, etc
216. Electronic Signature Agreement*

     By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date. 4)  I understand that if any changes are made to the site layout, I must submit a revised site map and each revision will be submitted.

     1. I agree.
218. Electronic Signature*
Leave This Blank:


220. 1. Receive an email copy of this form.
221. Email address

     This field is not part of the form submission.

222. Submit

* indicates a required field