Section 1: Applicant Information
Namerequired
Organization Name (if applicable)
Mailing Addressrequired Street Address
Mailing Address required City, State, Zip Code
Phone Numberrequired (###) ###-####
Email:required
Confirm Email:
Section 2: Event Information
Event Namerequired
Event Typerequired
Event Description required
Event Date(s)required (MM/DD/YYYY) to (MM/DD/YYYY)
Setup Timerequired Include the time range of setup along with AM/PM. Also please include date of setup.
Cleanup Timerequired Include the time range of cleanup along with AM/PM. Also please include date of cleanup.
Event Hours of Operationrequired
Location(s)required (include parks, streets, public spaces. Attach a map if applicable.)
Event Website
Estimated Attendancerequired
Section 3: Event Features
Will there be amplified sound/ music?required
If yes, what type of music will be involved? (Band, DJ)
Will food be served/ sold?required
If yes, provide list of vendor(s) and required health permits.
Will alcohol be served/ sold?required
If yes, provide alcohol permit and a list of vendor(s):
Will streets need to be closed?required
If yes, include traffic plan and proposed closure details.
Proximity to residences & churches required Select a distance:
Section 4: Services Requested From the Town of Atlantic Beach
Police/ Security Servicesrequired
Fire/ EMS Servicesrequired
Sanitation (Trash/ Recycling)required
Barricades/ Traffic Control:required
Electrical Access:required
Water Access:required
Section 4a: Services Vendor Will Provide
SLED Certified Security Guard provided:required
Off -Duty Atlantic Beach Police Officer(s) provided?required
Crowd Control Provided:required
First Aid/ Emergency Medical Provisions Details:required
Explain plans for trash removal, event cleanup and breakdown:required
Section 5: Vendor Information
Vendor Fee: $300 per vendorrequired Please provide full information on vendor:
Goods/Services to be offered:required
Will entry fee be charged?required
How much?required
Site Planrequired (Must attach a site plan):
Has this event been previously held at this location?required
Section 6:Insurance & Hold Harmless
All applicants MUST provide a Certificate of Insurance naming the Town of Atlantic Beach, its officers, employees/agents as an additional insured. ($1,000,000 from an “A rated” insurer authorized to do business in South Carolina.) The undersigned agrees to indemnify and hold harmless the Town of Atlantic Beach, its employees, and officers from any and all liability related to the above described event.required Type applicant's name below: