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2. First Name*
3. Last Name*
5. Name of Organization*
7. Name of Event
9. Address*
11. City*
12. State*
13. Zip Code*
15. Email Address*
16. Phone Number*
18. Type of special event (i.e. fundraiser, concert)*
19. Address of event*
21. List dates and times of event*
23. Number of expected attendees*
25. Describe the premises where the event will take place: (Attach site plan)*
27. Upload site plan*
28. Upload document showing permission to use the premises*
30. What type of security will be provided?*
32. Number of security personnel*
33. How will they be identified?*
35. If the event is being held outdoors, how will the exterior boundaries of the premises be marked? (i.e. fencing, ropes, barriers).*
37. What type of entertainment will be provided at the event?*
39. Liquor License*

    1. yes
    2. no

    Will you serve alcohol beverages at the event? If so you will be required to obtain a liquor license.

41. How and where will attendees 21 years of age and older be identified (i.e at the event entrance, at the alcohol service areas)? How will attendees under the age of 21 be identified (i.e. wristbands)?
43. How will the conduct of attendees be monitored and by whom? *
45. Have alcohol servers been trained in the sale/service of alcoholic beverages? (Servers are required to have attended an alcohol server training program prior to the event). *
47. What type of beverages, food and snacks will be available at the event?*
49. Certificate of Good Standing

    If a non-profit is applying the certificate of good standing is required.

50. Certificate of Insurance

    If the special event will be on Town of Fraser owned property an insurance certificate naming the town as an additional insured is required.

52. 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.

    1. I agree.
54. Electronic Signature
Leave This Blank:


56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit

* indicates a required field